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Contact Information

334 GRAND CONCOURSE MEDICAL PC
444 WILLIS AVE
BRONX, NY10455-4013
 Phone: 718-841-7392
 Fax: 347-862-2711
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for 334 GRAND CONCOURSE MEDICAL PC

NPI # 1225699648
LBN Legal business name 334 GRAND CONCOURSE MEDICAL PC
Authorized official ERROL MALLETT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/26/2019
Last updated 07/06/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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