NPI 1134137573

Throggs Neck Walk in Medical Care

Organisation Preferred Provider Organization Bronx, NY

Practice location

Address: 3594 E Tremont Ave, Bronx, NY 10465-2032
Phone: (718) 597-5800
Fax: (718) 829-4118
Mailing address: PO Box 1012, Bronx, NY 10465-1012

Authorised official

Name: Sandeep Gupta
Title: Md/Owner
Phone: (718) 597-5800

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 212451 (NY)

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Registry record

NPI: 1134137573
Entity type: Organization
NPI issued: 3 Aug 2006
Record last updated: 22 Aug 2020

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.