MEDICARE: A BRONX WOMENS MEDICAL PAVILION, P.C.

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	207L00000X	Anesthesiology Physician
2	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1376670547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A BRONX WOMENS MEDICAL PAVILION, P.C.

Provider Business Mailing Address
First Line	:	560 SOUTHERN BLVD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10455-3715
Country	:	US
Telephone Number	:	718-585-1010
Fax Number	:	718-585-7178

Provider Business Practice Location Address
First Line	:	560 SOUTHERN BLVD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10455-3715
Country	:	US
Telephone Number	:	718-585-1010
Fax Number	:	718-585-7178

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WILLIAM H KNORR
Credential	:	M.D.
Telephone Number	:	718-585-1010

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	09/11/2025

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