Organization
NEIGHBORHOOD FAMILY MEDICAL WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETERI TETROK M.D. (OWNER)
(718) 293-2626
Entity
Organization
Contact information
Practice address
3706 3RD AVE, BRONX, NY 10456-2145
(718) 293-2626
(718) 293-2627
Mailing address
4006 3RD AVE, P.O. BOX 570-392, BRONX, NY 10457-7533
(718) 293-2626
(718) 293-2627
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
214065
NY
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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