Individual
MONICA KONCICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(718) 741-2477
Mailing address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(718) 741-2477
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MT199227
PA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
274430
NY
Other
Enumeration date
06/06/2011
Last updated
03/16/2022
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