Organization
BEDFORD PARK MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAULA P PATEL MD (OWNER)
(718) 490-1590
Entity
Organization
Contact information
Practice address
1560 GRAND CONCOURSE, BRONX, NY 10457-8402
(917) 792-2087
Mailing address
9 BAYBERRY RD, ELMSFORD, NY 10523-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
NYS REGISTRATION
NY
Enumeration date
07/10/2018
Last updated
07/10/2018
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