Organization
CONCOURSE CHIROPRACTIC PLLC
Active
Other names
PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZORA BEDASIE D.C. (OFFICE MANAGER)
(718) 733-1000
Entity
Organization
Contact information
Practice address
2676 GRAND CONCOURSE, SUITE A, BRONX, NY 10458-4914
(718) 733-1000
Mailing address
2676 GRAND CONCOURSE, SUITE A, BRONX, NY 10458-4914
(718) 733-1000
(718) 733-0351
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
X0046381
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11
TAXONOMY CODE
NY
01
—
111N00000X
TAXONOMY CODE
NY
Enumeration date
10/04/2011
Last updated
10/04/2011
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