Organization
KINGSBRIDGE COMMUNITY MEDICAL PC
Active
Other names
Kingsbridge Community Medical PC
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE CHIARAMONTE MD (MEDICAL DIRECTOR)
(718) 543-0700
Entity
Organization
Contact information
Practice address
170 WEST 233RD STREET, SUITE 1A, BRONX, NY 10463
(718) 543-0700
(718) 543-0788
Mailing address
170 WEST 233RD STREET, SUITE 1A, BRONX, NY 10463
(718) 543-0700
(718) 543-0788
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208800000X
Urology Physician
—
—
213E00000X
Podiatrist
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02773393
—
NY
Enumeration date
12/28/2006
Last updated
03/11/2008
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