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Organization

DOWNTOWN BRONX MEDICAL ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PETER I GORDON (EXECUTIVE ADMINISTRATOR)
(718) 579-6200
Entity
Organization

Contact information

Practice address
234 E 149TH ST, STE 8D200, BRONX, NY 10451-5504
(718) 576-6200
(718) 579-6060
Mailing address
234 E 149TH ST, STE 8D200, BRONX, NY 10451-5504
(718) 576-6200
(718) 579-6060

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02084820
NY
Enumeration date
06/15/2006
Last updated
06/23/2015
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