Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bimc Faculty Practice

Organization Allergy & Immunology Physician · NPI 1033408414

Bimc Faculty Practice is an Allergy & Immunology Physician in New York, New York. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
4
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Practice location Address checks out

1825 Park Ave
New York, NY 10035-1641
Phone: (212) 774-3254
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Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Allergy & Immunology Physician Taxonomy 207K00000X
Internal Medicine Physician Taxonomy 207R00000X
Addiction Psychiatry Physician Taxonomy 2084P0802X

Record details

NPI number1033408414
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deborah Hackett — Vp · (212) 256-3424
Other names Community Primary Care
NPI enumeratedApril 6, 2011
Last updated in NPPESApril 6, 2011
Mailing address160 Water St, 20th Fl, New York, NY 10038-4922

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