Organization
BRONX METRO HEALTHCARE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID KHASIDY MD (DIRECTOR)
(718) 618-7522
Entity
Organization
Contact information
Practice address
432 E 149TH ST, BRONX, NY 10455-1343
(718) 618-7522
(718) 618-7566
Mailing address
432 E 149TH ST, BRONX, NY 10455-1343
(718) 618-7522
(718) 618-7566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
163002
NY
207R00000X
Internal Medicine Physician
163002
NY
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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