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NPI Code Detail

MEDICARE: ELMER ARTEAGA MEDICAL PC

MEDICARE: ELMER ARTEAGA MEDICAL PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician192323NY

General Provider Information

NPI Number : 1871994228
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELMER ARTEAGA MEDICAL PC
Provider Business Mailing Address
First Line : 3201 GRAND CONCOURSE APT 2M
Second Line :
City : BRONX
State : NY
Zip : 10468-1226
Country : US
Telephone Number : 718-220-4442
Fax Number : 718-220-4546
Provider Business Practice Location Address
First Line : 3201 GRAND CONCOURSE APT 2M
Second Line :
City : BRONX
State : NY
Zip : 10468-1226
Country : US
Telephone Number : 718-220-4442
Fax Number : 718-220-4546
Authorized Official
Title or Position : DOCTOR
Name : DR. ELMER C ARTEAGA
Credential : MD
Telephone Number : 71822044442
Provider Enumeration Date : 09/04/2014
Last Update Date : 09/04/2014

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Directions to “ELMER ARTEAGA MEDICAL PC ” Practice Location

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