Organization
TRACY TOWERS MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAULA PATEL M.D. (PRESIDENT)
71873363669
Entity
Organization
Contact information
Practice address
1560 GRAND CONCOURSE, SUITE 102, BRONX, NY 10457-8402
(718) 733-6369
(718) 294-4365
Mailing address
1560 GRAND CONCOURSE, SUITE 102, BRONX, NY 10457-8402
(718) 733-6369
(718) 294-4365
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
203633
NY
261QM2500X
Medical Specialty Clinic/Center
203633
NY
261QP2300X
Primary Care Clinic/Center
203633
NY
302F00000X
Exclusive Provider Organization
Primary
203633
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01740909
—
NY
Enumeration date
07/17/2009
Last updated
09/02/2010
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