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

Ccn General Medicine PLLC

Organization Family Medicine Physician · NPI 1902120025

Ccn General Medicine PLLC is a Family Medicine Physician in Bronx, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1262 Boston Rd Ste 2
Bronx, NY 10456-3602
Phone: (718) 569-7929
Fax: (347) 590-5482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 255626 (NY)
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1902120025
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hector Reyes — Adm · (718) 569-7929
NPI enumeratedMarch 18, 2010
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing address1262 Boston Rd, Suite 2, Bronx, NY 10456-3602

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