BRMC MEDICAL PLLC NPI 1629358908

NPI Information

  • NPI: 1629358908
  • Provider Name: BRMC MEDICAL PLLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 33D2281053
  • Address: 1262 BOSTON RD
    2ND FLOOR
    BRONX, NY
    ZIP 10456
  • Phone: (718) 617-2500

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NPI Details

BRMC MEDICAL PLLC is a specialist in Bronx, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BRMC MEDICAL PLLC NPI is 1629358908. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1262 BOSTON RD
2ND FLOOR
BRONX, NY
ZIP 10456-602
Phone: (718) 617-2500
Fax: (718) 617-0550

The provider's authorized official is Jorge Cornielle .
The authorized official title is President and has the following contact phone number (718) 617-2500.

The CLIA number assigned to this NPI record is 33D2281053 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2011 and was last updated on 8/18/2011.

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
1174400000XSpecialist214716NEW YORKYes

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: 11/21/2025

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