Nyccc

NPI #1245612803 in Bronx, New York

Provider Information

NPI Number
1245612803
Entity Type
Organization
Organization Name
Nyccc
Primary Specialty
Preferred Provider Organization
Enumeration Date
Jun 19, 2015
Last Updated
Jun 19, 2015

Practice Location

Address
1000 WATERS PL
City
Bronx
ZIP Code
10461-2701
Phone
(718) 239-3600

Authorized Official

Name
MISS BRENDA GRIER, M.D., D.O.
Title
ADMINISTRATIVE SECRETARY 1
Phone
(718) 239-3745

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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