MEDICARE: DOWNTOWN BRONX MEDICAL ASSOCIATES

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	282NC2000X	Children's Hospital	NY153350	NY

General Provider Information

NPI Number	:	1477629376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOWNTOWN BRONX MEDICAL ASSOCIATES

Provider Business Mailing Address
First Line	:	14 STONEY HOLLOW RD
Second Line	:
City	:	CHAPPAQUA
State	:	NY
Zip	:	10514-2014
Country	:	US
Telephone Number	:	914-238-3945
Fax Number	:

Provider Business Practice Location Address
First Line	:	234 E 149TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-5504
Country	:	US
Telephone Number	:	718-579-5800
Fax Number	:

Authorized Official
Title or Position	:	ATTENDING
Name	:	SHAFI K CHOUDHURY
Credential	:	MD
Telephone Number	:	718-579-5800

Provider Enumeration Date	:	11/24/2006
Last Update Date	:	08/22/2020

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