Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bronxcare Dr Martin Luther King Jr Health Center

Organization Federally Qualified Health Center (FQHC) · NPI 1073811485

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
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Practice location Address checks out

961 E 174th St
Bronx, NY 10460-5060
Phone: (718) 992-7669
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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 number1073811485
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBronxcare Dr Martin Luther King Jr Health Center Inc
Authorized official Victor Demarco — Svp Cfo · (718) 901-8600
Other names Bronxcare Mbd Family Practice; Bronxcare 174th St Medical Practice
NPI enumeratedMarch 9, 2011
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025
Mailing address1276 Fulton Ave, Bronx, NY 10456-3467

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