Basic Information
| Provider Information | |||||||||
| NPI: | 1629491618 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | DOC MEDICAL PRACTICE OF BRONX | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | DOCS URGENT CARE | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 116 FIFTH AVE | ||||||||
| Address2: | |||||||||
| City: | PELHAM | ||||||||
| State: | NY | ||||||||
| PostalCode: | 108031504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9147380005 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2422 CENTRAL PARK AVE | ||||||||
| Address2: | |||||||||
| City: | YONKERS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 107101125 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9147792995 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/27/2014 | ||||||||
| LastUpdateDate: | 01/27/2014 | ||||||||
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| AuthorizedOfficialLastName: | SINDHWANI | ||||||||
| AuthorizedOfficialFirstName: | RAJEEV | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 9147792995 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QU0200X | Y | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care |
No ID Information.