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Contact Information

866 MEDICAL GROUP
866 E TREMONT AVE
BRONX, NY10460-4201
 Phone: 347-515-0123
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for 866 MEDICAL GROUP · (Female)

NPI # 1013350933
Status Active
Credentials
Entity Individual
Enumeration date 04/10/2013
Last updated 04/10/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 217149
  • NY License # 234017
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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