NPI | 1043518467 |
---|---|
Doing Business As | BRONXCARE CROTONA PARK FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | VICTOR G DEMARCO Senior VP Chief Financial Officer 718-901-8600 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 7000212R) |
Enumeration Date | 2011-03-09 |
Last Update Date | 2018-06-28 |