Organization
BETHEL MEDICAL PRACTICE P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINGO ANTHONIO SANTANA M.D (M.D)
(718) 676-4177
Entity
Organization
Contact information
Practice address
2869 GRAND CONCORSE, SUITE # 1, BRONX, NY 10468
(718) 676-4177
(718) 676-4179
Mailing address
2160 ANTHONY AVE, APT # 4F, BRONX, NY 10457
(646) 463-7552
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
239271
NY
Other
Enumeration date
02/28/2008
Last updated
05/04/2012
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