| Bethel Medical Practice P.c | |
|
2869 Grand Concorse Suite # 1 Bronx NY 10468 | |
| (718) 676-4177 | |
| (718) 676-4179 |
| Full Name | Bethel Medical Practice P.c |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2869 Grand Concorse, Bronx, New York |
| Authorized Official Name and Position | Domingo Anthonio Santana (M.D) |
| Authorized Official Contact | 7186764177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethel Medical Practice P.c 2160 Anthony Ave Apt # 4f Bronx NY 10457 Ph: (646) 463-7552 | Bethel Medical Practice P.c 2869 Grand Concorse Suite # 1 Bronx NY 10468 Ph: (718) 676-4177 |
| NPI Number | 1710156211 |
|---|---|
| Provider Enumeration Date | 02/28/2008 |
| Last Update Date | 05/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710156211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 239271 (New York) | Primary |
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