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NPI Code Detail

MEDICARE: OUR LADY OF MERCY MEDICAL CENTER

MEDICARE: OUR LADY OF MERCY MEDICAL CENTER
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
1273R00000XPsychiatric Hospital Unit101796NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508074261
Entity Type Code : Organization
Provider Name (Legal Business Name) : OUR LADY OF MERCY MEDICAL CENTER
Provider Business Mailing Address
First Line : 4401 BRONX BLVD
Second Line :
City : BRONX
State : NY
Zip : 10470-1407
Country : US
Telephone Number : 717-304-7000
Fax Number : 718-304-7065
Provider Business Practice Location Address
First Line : 4401 BRONX BLVD
Second Line :
City : BRONX
State : NY
Zip : 10470-1407
Country : US
Telephone Number : 717-304-7000
Fax Number : 718-304-7065
Authorized Official
Title or Position : CHIF PSYCHIATRIST, AMBULATORY PSYCH
Name : DR. AHMED HAKKI
Credential : MD
Telephone Number : 717-304-7000
Provider Enumeration Date : 05/18/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

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Practice Fax:
1821271214 — OUR LADY OF MERCY MEDICAL CENTER OUTPATIENT PSYCHIATRIC PROGRAMS
Practice Location Address:
4401 BRONX BLVD
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10470-1407
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1396991790 — MONTEFIORE MEDICAL CENTER
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1013160613 — MRS. BOLANLE OLAJUMOKE BELLO N.P
Practice Location Address:
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Practice Fax: 718-304-9217

Directions to “OUR LADY OF MERCY MEDICAL CENTER ” Practice Location

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