Organization
BRONXVILLE PATHOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE E. MACCERA M.D. (PRESIDENT)
(914) 771-5887
Entity
Organization
Contact information
Practice address
55 PALMER RD, LAWRENCE HOSPITAL CENTER, BRONXVILLE, NY 10708-4103
(914) 787-3265
(914) 787-3269
Mailing address
17 KRAFT AVE, BRONXVILLE, NY 10708-4103
(914) 771-5887
(914) 771-7106
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
141707
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P-52352515
MULTIPLAN
NY
Enumeration date
01/04/2006
Last updated
04/01/2008
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