Organization
NORTH BRONX FACULTY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MICHAEL BLUMBERG MD (PRESIDENT)
(718) 918-5826
Entity
Organization
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(516) 338-5300
(516) 333-1075
Mailing address
1400 PELHAM PKWY S, RM BS 35, BRONX, NY 10461-1138
(718) 918-7313
(718) 975-5685
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02239563
—
NY
Enumeration date
05/25/2007
Last updated
10/05/2017
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