Provider Demographics
NPI:1225861396
Name:BRONXCARE HEALTH SYSTEM
Entity type:Organization
Organization Name:BRONXCARE HEALTH SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL RESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDULWAHHAB
Authorized Official - Middle Name:
Authorized Official - Last Name:ALABID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:929-668-7148
Mailing Address - Street 1:1650 GRAND CONCOURSE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-7679
Mailing Address - Country:US
Mailing Address - Phone:718-901-8203
Mailing Address - Fax:718-901-8704
Practice Address - Street 1:1650 GRAND CONCOURSE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-7679
Practice Address - Country:US
Practice Address - Phone:718-901-8203
Practice Address - Fax:718-901-8704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty