NPI 1003125691

Aramark

Organisation Clinic/Center Bronx, NY

Practice location

Address: 1650 Grand Concourse, Bronx, NY 10457-7606
Phone: (646) 641-7427
Mailing address: 1226 Sherman Ave APT 21, Bronx, NY 10456-3015

Authorised official

Name: Carmelo Rivera
Title: Outpatient Dietitian
Phone: (646) 641-7427

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence 006442 (NY)

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Registry record

NPI: 1003125691
Entity type: Organization
NPI issued: 29 Sep 2010
Record last updated: 29 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.