| Our Lady Of Mercy Medical Center | |
|
4401 Bronx Blvd Bronx NY 10470-1407 | |
| (717) 304-7000 | |
| (718) 304-7065 |
| Full Name | Our Lady Of Mercy Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 4401 Bronx Blvd, Bronx, New York |
| Authorized Official Name and Position | Ahmed Hakki (CHIF PSYCHIATRIST, AMBULATORY PSYCH) |
| Authorized Official Contact | 7173047000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Lady Of Mercy Medical Center 4401 Bronx Blvd Bronx NY 10470-1407 Ph: (717) 304-7000 | Our Lady Of Mercy Medical Center 4401 Bronx Blvd Bronx NY 10470-1407 Ph: (717) 304-7000 |
| NPI Number | 1508074261 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508074261 | NPI | - | NPPES |
| 00337013 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 101796 (New York) | Primary |
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