Organization
BRONXLEBAON HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO LUIS VASQUEZ MD (MD)
(718) 901-8294
Entity
Organization
Contact information
Practice address
1770 GRAND CONCOURSE, DEP 5L1, BRONX, NY 10457-5524
(718) 901-8294
Mailing address
1770 GRAND CONCOURSE, DEP 5L1, BRONX, NY 10457-5524
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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