NPI 1497048151
United States Marine Corps
Practice location
- Address
- 2488 Grand Concourse Rm 204, Bronx, NY 10458-5207
- Phone
- (718) 938-0696
- Fax
- (718) 367-6212
Authorised official
- Name
- Erwin Membreno
- Title
- Military
- Phone
- (718) 938-0696
Registered specialties
Military Hospital
Primary
Registry record
- NPI
- 1497048151
- Entity type
- Organization
- NPI issued
- 26 May 2011
- Record last updated
- 26 May 2011
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.