Healthcare Provider Details

I. General information

NPI: 1730522848
Provider Name (Legal Business Name): FIRST STEP MEDICAL, P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2013
Last Update Date: 11/11/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

743 EAST TREMONT AVE.
BRONX NY
10457-5101
US

IV. Provider business mailing address

743 EAST TREMONT AVE.
BRONX NY
10457-5101
US

V. Phone/Fax

Practice location:
  • Phone: 718-220-0507
  • Fax: 718-220-8419
Mailing address:
  • Phone: 718-220-0507
  • Fax: 718-220-8419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MARIA M MOLINA
Title or Position: OWNER
Credential: MD
Phone: 718-220-0507