| Bronxcare Health System | |
|
1650 Grand Concourse Bronx NY 10457 | |
| (718) 992-7669 | |
| Not Available |
| Full Name | Bronxcare Health System |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1650 Grand Concourse, Bronx, New York |
| Authorized Official Name and Position | Victor George Demarco (CFO/SVP) |
| Authorized Official Contact | 7189018600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bronxcare Health System 1276 Fulton Ave Rm 219 Bronx NY 10456-3467 Ph: (718) 901-8918 | Bronxcare Health System 1650 Grand Concourse Bronx NY 10457 Ph: (718) 992-7669 |
| NPI Number | 1326115692 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 11/21/2025 |
| Certification Date | 11/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326115692 | NPI | - | NPPES |
| 03640984 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| 133V00000X | Dietitian, Registered | () | Secondary |
| 176B00000X | Midwife | () | Secondary |
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