Organization
MEDALLIANCE MEDICAL HEALTH SERVICES
Active
Parent organization
MEDALLIANCE MEDICAL HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDALLIANCE MEDICAL HEALTH SERVICES
Authorized official
MS. GERALDINE A MARAJ MBA (ADMINISTRATIVE ASSISTANT)
(718) 933-1900
Entity
Organization
Contact information
Practice address
518 E 149TH ST, BRONX, NY 10455-2812
(718) 292-6110
(718) 292-6111
Mailing address
518 E 149TH ST, BRONX, NY 10455-2812
(718) 292-6110
(718) 292-6111
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2010
Last updated
01/18/2010
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