MEDICARE: BRONX HEALTH LLC

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1003370339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRONX HEALTH LLC

Provider Business Mailing Address
First Line	:	392 E TREMONT AVE RM 21
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10457-4241
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	392 E TREMONT AVE RM 21
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10457-4241
Country	:	US
Telephone Number	:	347-701-5381
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	ARSALAN MEHTAB
Credential	:
Telephone Number	:	347-701-5381

Provider Enumeration Date	:	01/31/2019
Last Update Date	:	01/31/2019

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Directions to “BRONX HEALTH LLC ” Practice Location

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