BRONXCARE HEALTH SYSTEM; NPI #1053481192

Contact Information

BRONXCARE HEALTH SYSTEM

1276 FULTON AVE
BRONX, NY 10456

Phone: 718-901-8600
Fax: 718-293-1475
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center

Indicates primary specialty

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NPI Profile & details for BRONXCARE HEALTH SYSTEM

NPI Number 1053481192

LBN Legal business name BRONXCARE HEALTH SYSTEM

Authorized official VICTOR DEMARCO - (SENIOR VP-CHIEF FINANCIAL OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/08/2006

Last updated 03/10/2020 - About 6 years ago

Identifiers

NY	License #	7000001H
NY	Medicaid	01571860

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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