Organization
BRONXCARE HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR DEMARCO (CFO)
(718) 901-8600
Entity
Organization
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457
(718) 901-8600
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3402
(718) 901-8918
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207VX0000X
Obstetrics Physician
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01806239
—
NY
Enumeration date
11/13/2006
Last updated
02/06/2020
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