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

Grand Concourse Medical Practice, PC

Organization Internal Medicine Physician · NPI 1265744197

Grand Concourse Medical Practice, PC is an Internal Medicine Physician in Bronx, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
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

1831 Grand Concourse Ste A
Bronx, NY 10453-6324
Phone: (646) 640-6246
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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 241121 (NY)

Record details

NPI number1265744197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manuel Mejia — Medical Director · (646) 640-6246
NPI enumeratedJuly 8, 2010
Last updated in NPPESOctober 21, 2016
Mailing address1831 Grand Concourse Ste A, Bronx, NY 10453-6324

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