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

Primary Care Physician Specialist

Organization Family Medicine Physician · NPI 1205671583

Primary Care Physician Specialist is a Family Medicine Physician in Bronx, New York. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1927 Williamsbridge Rd
Bronx, NY 10461-1604
Phone: (718) 828-1549
Fax: (718) 828-5029
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1261 Thieriot Ave, Bronx, NY 10472-4713 — (718) 828-1549

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1205671583
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Andrade — President · (914) 498-3635
NPI enumeratedJune 27, 2024
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026
Mailing address1927 Williamsbridge Rd, Bronx, NY 10461-1604

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