| NPI | 1801131123 |
|---|---|
| Other Name | FAMILY PRACTICE |
| Doing Business As | BRONXCARE FULTON FAMILY MEDICINE PRACTICE |
| Entity Type | Organization |
| Authorized Contact | VICTOR GEORGE DEMARCO CFO 718-901-8600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2020-03-10 |