Organization
BRONX MEDICAL NEURO CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYZETTE EILEEN VELAZQUEZ MD (PRESIDENT)
(718) 409-9100
Entity
Organization
Contact information
Practice address
2510 WESTCHESTER AVE STE 108, BRONX, NY 10461-3585
(718) 409-9100
(718) 409-9491
Mailing address
2510 WESTCHESTER AVE STE 108, BRONX, NY 10461-3585
(718) 409-9100
(718) 409-9491
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
176337
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356442941
NPI #
NY
Enumeration date
04/09/2007
Last updated
04/04/2014
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