OrganizationActive
Advance Primary Specialty Care
NPI 1386960052 · Preferred Provider Organization · Bronx, NY
Provider details
- NPI number
- 1386960052
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Authorized official
- Lawrence Chiaramonte, Medical Director
Practice location
1957 Southern Blvd
2nd Fl
Bronx, NY 10460-1419
Phone: (718) 299-1091
Fax: (718) 299-1230
Mailing address
1957 Southern Blvd
Bronx, NY 10460-1419
Registry dates
- Enumerated
- 2010-04-20
- Last updated
- 2010-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.