Concourse Village Primary Care Pllc in Bronx - Specialist
Concourse Village Primary Care Pllc - NPI 1093984981
Concourse Village Primary Care Pllc is a Specialist in Bronx, New York. Concourse Village Primary Care Pllc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Concourse Village Primary Care Pllc is 1093984981. The last update date is 2008-02-25.
Concourse Village Primary Care Pllc's current location address is 769 Concourse Vlg W, Bronx, New York. You can contact this provider via phone number 7184024021 and fax number 7184024023. The mailing address for Concourse Village Primary Care Pllc is 769 Concourse Vlg W, Bronx, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Concourse Village Primary Care Pllc |
|---|---|
| Address | 769 Concourse Vlg W, Bronx, New York |
| Phone Number | 7184024021 |
| Fax Number | 7184024023 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Macenat R. Jean |
| Telephone Number | 7184024021 |
NPI Number Detail
| NPI Number | 1093984981 |
|---|---|
| Provider Enumeration Date | 2008-02-25 |
| Last Updated Date | 2008-02-25 |
Provider Mailing Address Detail
| Address | 769 Concourse Vlg W |
|---|---|
| City | Bronx |
| State | New York (NY) |
| Post Code | 104513801 |
| Phone Number | 7184024021 |
| Fax Number | 7184024023 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 211364 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| JM0301AR0 | BLUE CROSS/SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Concourse Village Primary Care Pllc by the Centers for Medicare & Medicaid Services?
The Concourse Village Primary Care Pllc has been issued the NPI (National Provider Identifier) 1093984981 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Concourse Village Primary Care Pllc?
The Concourse Village Primary Care Pllc is physically situated at 769 Concourse Vlg W, in the city of Bronx, state of NY, with the postal code 104513801.
What is Concourse Village Primary Care Pllc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Concourse Village Primary Care Pllc's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1093984981 to Concourse Village Primary Care Pllc?
The Concourse Village Primary Care Pllc received its 1093984981 assignment from the Centers for Medicare & Medicaid Services on 2008-02-25.
When was the Concourse Village Primary Care Pllc's information last updated?
The Concourse Village Primary Care Pllc's information was last updated on 2008-02-25.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC