Bronxcare Dr Martin Luther King Jr Health Center
Bronxcare Dr Martin Luther King Jr Health Center is a Federally Qualified Health Center (FQHC) in Bronx, New York. Licensed in New York. Registered with an NPI since 2011.
- Licensed in
- NY
- In the registry since
- 2011
Practice location Address checks out
1591 Fulton AveBronx, NY 10457
Phone: (718) 901-8600
Fax: (718) 293-1475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X · Licence 7000212R (NY) |
|---|
Record details
| NPI number | 1043518467 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Bronxcare Dr Martin Luther King Jr Health Center Inc |
| Authorized official | Victor Demarco — Senior Vp-Chief Financial Officer · (718) 901-8600 |
| Other names | Bronxcare Crotona Park Family Practice |
| NPI enumerated | March 9, 2011 |
| Last updated in NPPES | June 28, 2018 |
| Mailing address | 1276 Fulton Ave, Bronx, NY 10456-3402 |
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