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Contact Information

BRONXCARE SPECIAL CARE CENTER
1265 FULTON AVE
BRONX, NY10456
 Phone: 718-901-8600
 Fax: 718-293-1475
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BRONXCARE SPECIAL CARE CENTER

NPI Number 1639255797
LBN Legal business name BRONXCARE SPECIAL CARE CENTER
Authorized official VICTOR DEMARCO - (SENIOR VP-CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/31/2006
Last updated 05/11/2021 - About 5 years ago
Identifiers
NY License # 7000364N
NY Medicaid 01350930
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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