Organization
BRONX INTERNAL MEDICINE ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOLM PHILLIPS M.D. (PRESIDENT)
(718) 960-6205
Entity
Organization
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-6205
Mailing address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-6205
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035208
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01917591
—
NY
Enumeration date
06/16/2006
Last updated
01/19/2011
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