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

Diabetes Relief Center of Bronx MSO LLC

Organization Internal Medicine Physician · NPI 1043738586

Diabetes Relief Center of Bronx MSO LLC is an Internal Medicine Physician in Bronx, New York. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2825 3rd Ave Ste 200
Bronx, NY 10455-4066
Phone: (916) 550-1050
Fax: (916) 550-1238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1043738586
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deane' Wallace — Credentialing Specialist · (916) 571-9041
NPI enumeratedSeptember 5, 2017
Last updated in NPPESSeptember 5, 2017
Mailing address4441 Auburn Blvd Ste J, Sacramento, CA 95841-4139

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