Organization
CONCOURSE MEDICAL OFFICE P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJI MOHAMMED AYINLA M.D. (PRESIDENT)
(718) 220-4380
Entity
Organization
Contact information
Practice address
2951 GRAND CONCOURSE, SUITE 1-A, BRONX, NY 10468-1431
(718) 220-4380
Mailing address
2951 GRAND CONCOURSE, SUITE 1-A, BRONX, NY 10468-1431
(718) 220-4380
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
NY
Other
Enumeration date
06/09/2009
Last updated
09/08/2011
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