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

Grand Concourse Health Wellness Medical, PC

Organization Internal Medicine Physician · NPI 1811241631

Grand Concourse Health Wellness Medical, PC is an Internal Medicine Physician in Bronx, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2336 Grand Concourse
Bronx, NY 10458-6903
Phone: (718) 220-0439
Fax: (718) 220-0489
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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 · Licence 260048 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence 260048 (NY)

Record details

NPI number1811241631
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dmitry Ilyevsky — President · (718) 220-0439
NPI enumeratedOctober 31, 2012
Last updated in NPPESOctober 31, 2012
Mailing address2336 Grand Concourse, Bronx, NY 10458-6903

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