Organization
BRONXCARE SPECIAL CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR G DEMARCO CPA (SENIOR VP-CHIEF FINANCIAL OFFICER)
(718) 901-8600
Entity
Organization
Contact information
Practice address
1265 FULTON AVE, BRONX, NY 10456
(718) 901-8600
(718) 293-1475
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3402
(708) 901-8600
(718) 293-1475
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7000364N
NY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01350930
—
NY
Enumeration date
10/31/2006
Last updated
05/11/2021
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