Healthcare Provider Details

I. General information

NPI: 1457665937
Provider Name (Legal Business Name): SBH PHYSICIANS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2010
Last Update Date: 06/20/2023
Certification Date: 06/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4422 THIRD AVENUE BRAKER BUILDING
BRONX NY
10457
US

IV. Provider business mailing address

4422 THIRD AVENUE BRAKER BUILDING
BRONX NY
10457
US

V. Phone/Fax

Practice location:
  • Phone: 718-960-9000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARY GROCHOWSKI
Title or Position: CFO/SR VICE PRESIDENT
Credential:
Phone: 718-960-6250