Organization
BRMC MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE CORNIELLE M.D. (PRESIDENT)
(718) 617-2500
Entity
Organization
Contact information
Practice address
1262 BOSTON RD, 2ND FLOOR, BRONX, NY 10456-3602
(718) 617-2500
(718) 617-0550
Mailing address
1262 BOSTON RD, 2ND FLOOR, BRONX, NY 10456-3602
(718) 617-2500
(718) 617-0550
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
214716
NY
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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