Basic Information
| Provider Information | |||||||||
| NPI: | 1477629376 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DOWNTOWN BRONX MEDICAL ASSOCIATES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14 STONEY HOLLOW RD | ||||||||
| Address2: | |||||||||
| City: | CHAPPAQUA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105142014 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9142383945 | ||||||||
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| Practice Location | |||||||||
| Address1: | 234 E 149TH ST | ||||||||
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| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104515504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7185795800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/24/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | CHOUDHURY | ||||||||
| AuthorizedOfficialFirstName: | SHAFI | ||||||||
| AuthorizedOfficialMiddleName: | K | ||||||||
| AuthorizedOfficialTitleorPosition: | ATTENDING | ||||||||
| AuthorizedOfficialTelephone: | 7185795800 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282NC2000X | NY153350 | NY | Y | Hospitals | General Acute Care Hospital | Children |
No ID Information.