SOUTHERN WELLCARE MEDICAL PC

BRONX, NY
NPI1396090932
Entity TypeOrganization
Authorized ContactSVETLANA KHANDROS
President
718-220-0439
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  228243)
Enumeration Date2012-07-19
Last Update Date2019-10-17
Business Address
SOUTHERN WELLCARE MEDICAL PC
2336 GRAND CONCOURSE
BRONX, NY 10458-6903
Phone number: 718-907-0195
Mailing Address
SOUTHERN WELLCARE MEDICAL PC
2336 GRAND CONCOURSE
BRONX, NY 10458-6903
Phone number: 718-220-0439
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