Westchester Avenue Family Medicine Pc

NPI 1023388428 - Family Medicine - 207Q00000X

NPI Details
NPI 1023388428
Enumeration Date 01/03/2012
Last Updated 01/03/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name AJITH KUMAR AJITH
Position OWNER
Phone (718) 842-8900
Fax
Practice Location
1561 WESTCHESTER AVENUE
BRONX NY, 10472-2912, US
Phone (718) 842-8900
Fax
Business Location
166-14 CROCHERON AVE
2ND FL
FLUSHING NY, 11358-2010, US
Phone (718) 842-8900
Fax (718) 589-7952
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 251400
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According to our database, Westchester Avenue Family Medicine Pc NPI is 1023388428, taxonomy code is 207Q00000X and license number is 251400, license state is located at New York. Westchester Avenue Family Medicine Pc physically located at 1561 Westchester Avenue, Bronx NY, 10472-2912. NPI Number 1033115704 has the healthcare provider type.

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1023388428 NPI number is provided on an as is basis without warranty of any kind. 1023388428 is maintained by the National Plan & Provider Enumeration System. The contents of Westchester Avenue Family Medicine Pc are for informational purposes only.