| NPI | 1588962906 |
|---|---|
| Doing Business As | BRONXCARE THIRD AVENUE MEDICAL & DENTAL 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 | 2023-10-19 |