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NPI 1710432638 · PACE Provider Organization · Bronx, NY
Provider details
- NPI number
- 1710432638
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Authorized official
- Margarita Prez, Teacher
- License
- 694857122 (NY)
Practice location
1394 Prospect Ave Apt 1fl
Bronx, NY 10459-1405
Phone: (914) 310-3372
Mailing address
1394 Prospect Ave Apt 1fl
Bronx, NY 10459-1405
Registry dates
- Enumerated
- 2016-08-21
- Last updated
- 2016-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.