ANGELICUM MEDICAL SERVICES PC NPI 1659692812

NPI Information

NPI: 1659692812
Provider Name: ANGELICUM MEDICAL SERVICES PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
334 GRAND CONCOURSE
BRONX, NY
ZIP 10451
Phone: (718) 590-5900
Get Directions

ANGELICUM MEDICAL SERVICES PC is a family medicine in Bronx, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ANGELICUM MEDICAL SERVICES PC NPI is 1659692812. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

334 GRAND CONCOURSE
BRONX, NY
ZIP 10451-409
Phone: (718) 590-5900
Fax: (888) 557-5258

The provider's authorized official is Alexander Baldonado .
The authorized official title is President and has the following contact phone number (347) 825-8288.

The enumeration date for this NPI number is 6/22/2010 and was last updated on 7/9/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		271367-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	02061425	MEDICAID	NEW YORK
2	03302870	MEDICAID	NEW YORK
3	I71845	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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