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

Impact Medical PC

Organization Internal Medicine Physician · NPI 1861733370

Impact Medical PC is an Internal Medicine Physician in Bronx, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
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

552 E 180th St
Bronx, NY 10457-3304
Phone: (718) 933-4445
Fax: (718) 933-4444
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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 205919 (NY)

Record details

NPI number1861733370
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dean Basulto — Solo Owner · (718) 665-2900
NPI enumeratedMarch 7, 2013
Last updated in NPPESMarch 7, 2013
Mailing address552 E 180th St, Bronx, NY 10457-3304

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