866 Medical Group

NPI 1013350933 - Family Medicine - 207QA0505X

NPI Details
NPI 1013350933
Enumeration Date 04/10/2013
Last Updated 04/10/2013
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name DANTE A DANTE
Position PRESIDENT
Phone (347) 515-0123
Fax
Practice Location
866 E TREMONT AVE
BRONX NY, 10460-4201, US
Phone (347) 515-0123
Fax
Business Location
866 E TREMONT AVE
BRONX NY, 10460-4201, US
Phone
Fax
Toxanomy
Taxonomy Code 207QA0505X
License State New York
License Number 217149
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According to our database, 866 Medical Group NPI is 1013350933, taxonomy code is 207QA0505X and license number is 217149, license state is located at New York. 866 Medical Group physically located at 866 E Tremont Ave, Bronx NY, 10460-4201. NPI Number 1033115704 has the healthcare provider type.

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1013350933 NPI number is provided on an as is basis without warranty of any kind. 1013350933 is maintained by the National Plan & Provider Enumeration System. The contents of 866 Medical Group are for informational purposes only.