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NPI 1225699648

OrganizationActive

334 Grand Concourse Medical PC

NPI 1225699648 · Urology Physician · Bronx, NY

Provider details

NPI number: 1225699648
Entity type: Organization
Primary specialty: Urology PhysicianAllopathic & Osteopathic Physicians
Authorized official: Errol Mallett, President

Practice location

444 Willis Ave

Bronx, NY 10455-4013

Phone: (718) 841-7392

Fax: (347) 862-2711

More NY providers

Mailing address

444 Willis Ave

Bronx, NY 10455-4013

Registry dates

Enumerated: 2019-06-26
Last updated: 2020-07-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

334 Grand Concourse Medical PC — NPI 1225699648, Bronx, NY | NPI Central