Active NPIOrganization

Bethel Medical Practice P.c

Clinic/Center, Primary Care in Bronx, New York

NPI Number1710156211
Practice location
2869 Grand Concorse, Suite # 1, Bronx, NY 10468
Fax
718-676-4179
Last updated
May 4, 2012

Bethel Medical Practice P.c is a healthcare organization based in Bronx, NY. Bethel Medical Practice P.c practices in Bronx, NY. The NPI Number for Bethel Medical Practice P.c is 1710156211 and holds a License No. 239271 (NY). The current practice location address for Bethel Medical Practice P.c is 2869 Grand Concorse, Suite # 1, Bronx, NY 10468 and can be reached out via phone at 718-676-4177 and via fax at 718-676-4179.

Provider Profile Details

NPI Number
1710156211
Provider Name
Bethel Medical Practice P.c
Provider Entity Type
Organization
Address
2869 Grand Concorse, Suite # 1, Bronx, NY 10468
Phone Number
718-676-4177
Fax Number
718-676-4179
Primary Taxonomy
Clinic/Center, Primary Care · 261QP2300X
Organization Subpart
No
Authorized Official
Dr. Domingo Anthonio Santana, MD · M.d · 718-676-4177
Provider Enumeration Date
February 28, 2008
Last Update Date
May 4, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
2869 Grand Concorse
Suite # 1
Bronx, NY 10468
City
Bronx
Zip
10468
Phone Number
718-676-4177
Fax Number
718-676-4179
Bronx, NY 10468Get directions →

Provider Business Mailing Address Details

Address
2160 Anthony Ave
Apt # 4F
Bronx, NY 10457
City
Bronx
State
NY
Zip
10457
Phone Number
646-463-7552

License Information

License Number
239271
License State
NY
Taxonomy
Clinic/Center, Primary Care · 261QP2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bethel Medical Practice P.c?

The NPI number of Bethel Medical Practice P.c is 1710156211. It was assigned on February 28, 2008 and is currently active in the NPPES registry.

What is the specialty of Bethel Medical Practice P.c?

Bethel Medical Practice P.c is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X), licensed in NY under license number 239271.

Where does Bethel Medical Practice P.c practice?

The practice location is 2869 Grand Concorse, Suite # 1, Bronx, NY 10468. The office can be reached at 718-676-4177 (phone) or 718-676-4179 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710156211 directly on the NPPES registry website.

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