Organization
JACOBI MEDICAL CENTER
Active
Other names
North bronx network
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDITH SANTA RN (STAFF NURSE)
(718) 918-4057
Entity
Organization
Contact information
Practice address
1400 PELHAM PKWY S, ILLYRIA FAMILY PRACTICE, BRONX, NY 10461-1138
(718) 918-4057
Mailing address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-4057
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
451331
NY
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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