NPI 1013217629

Manhattan Avenue Medical PC

Organisation Internal Medicine Physician Bronx, NY

Practice location

Address: 552 East 180th Street, Bronx, NY 10457-3304
Phone: (718) 933-4445
Fax: (718) 933-4444

Authorised official

Name: Azu a Ajudua
Title: Owner
Phone: (718) 933-4445

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 130554 (NY)

Other Internal Medicine providers in New York →

Registry record

NPI: 1013217629
Entity type: Organization
NPI issued: 28 Oct 2010
Record last updated: 11 Sep 2012

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.