Organization
BRONX DOCTOR OFFICE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY ELIZABETH SCHOENWEISS (CLINICAL DIRECTOR)
(917) 734-5714
Entity
Organization
Contact information
Practice address
1757 UNIVERSITY AVENUE, BRONX, NY 10453
(718) 960-4311
(347) 657-3341
Mailing address
PO BOX 335, WESTBURY, NY 10453
(718) 960-4311
(347) 657-3341
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04025430
—
NY
Enumeration date
10/15/2014
Last updated
04/18/2018
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