CONCOURSE PEDIATRICS NPI 1699200154

NPI Information

NPI: 1699200154
Provider Name: CONCOURSE PEDIATRICS
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1001 GRAND CONCOURSE APT 1E
BRONX, NY
ZIP 10452
Phone: (718) 293-3566
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CONCOURSE PEDIATRICS is a primary care clinic center in Bronx, NY. CONCOURSE PEDIATRICS NPI is 1699200154. The provider is registered as an organization entity type.

The provider's business location address is:

1001 GRAND CONCOURSE APT 1E
BRONX, NY
ZIP 10452-122
Phone: (718) 293-3566
Fax: (718) 293-3547

The provider's authorized official is Juan J Pilarte .
The authorized official title is President and has the following contact phone number (718) 293-3566.

The enumeration date for this NPI number is 4/21/2017 and was last updated on 4/21/2017.

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	261QP2300X	Clinic/Center	Primary Care	199747	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	Other Provider Identifier Issuer
1	01596501	MEDICAID	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: 11/14/2023

NPI Synchronization or Removal

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