Individual
AMELIA DE LA CONCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 BAINBRIDGE AVE, 7TH FLOOR, BRONX, NY 10467-2404
(718) 920-2626
(718) 652-1833
Mailing address
1657 PAULDING AVE, GROUND FLOOR, BRONX, NY 10462-3106
(347) 920-8503
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F338406
NY
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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