Organization
BRONX PEDIATRICS, PC
Active
Other names
Bronx Pediatrics, PC
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL L AQUINO (ADMINISTRATOR)
(718) 220-6272
Entity
Organization
Contact information
Practice address
2869 GRAND CONCOURSE STE 1, BRONX, NY 10468-1966
(718) 220-6272
(718) 220-6270
Mailing address
2869 GRAND CONCOURSE AVE., STE. 1, BRONX, NY 10458
(718) 220-6272
(718) 220-6270
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
212539-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02255127
—
NY
Enumeration date
10/29/2008
Last updated
10/29/2008
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