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General NPI Number Information
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NPI Number | 1326115692
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Entity Type | Organization
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Legal Business Name | BRONXCARE HEALTH SYSTEM
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 1650 GRAND CONCOURSE
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City | BRONX
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State | NY
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Zip | 10457
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Country | US
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Telephone | 718-992-7669
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Fax |
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Provider Business Mailing Address
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Address Line | 1276 FULTON AVE RM 219
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City | BRONX
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State | NY
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Zip | 10456-3467
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Country | US
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Telephone | 718-901-8918
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Fax | 718-901-8929
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Authorized Official
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Title or Position | CFO/SVP
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Name | VICTOR GEORGE DEMARCO
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Credential |
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Telephone | 718-901-8600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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