Organization
DOWNTOWN BRONX MEDICAL ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER I. GORDON (EXECUTIVE ADMINISTRATOR)
(718) 579-6017
Entity
Organization
Contact information
Practice address
506 MALCOLM X BLVD, NEW YORK, NY 10037-1802
(212) 939-1649
Mailing address
3465 ICHABOD CT, YORKTOWN HEIGHTS, NY 10598-2113
(917) 841-0102
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
006007
NY
Other
Enumeration date
01/05/2007
Last updated
08/19/2008
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