334 GRAND CONCOURSE MEDICAL PC (NPI# 1225699648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225699648 |
| Entity Type | Organization |
| Organization Name | 334 GRAND CONCOURSE MEDICAL PC |
| Practice Address |
444 Willis Ave Bronx NY 10455-4013 |
| Practice Telephone | 7188417392 |
| Practice Fax Number | 3478622711 |
| Mailing Telephone | 7188417392 |
| Mailing Fax Number | 3478622711 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2020-07-06 |
| Authorized Official Name | ERROL C MALLETT (PRESIDENT) |
| Authorized Official Telephone | 7188417392 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
444 WILLIS AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10455-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992785315 | Errol Charles Mallett | Specialist | 444 Willis Ave, Bronx, NY 10455-4013 | 2006-01-20 |
| 1750942496 | Choi Family Health Np PC | Nurse Practitioner | 444 Willis Ave, Bronx, NY 10455-4013 | 2019-06-24 |
| 1720318652 | Irebo Foot and Ankle Surgery | Clinic/Center | 444 Willis Ave, Bronx, NY 10455-4013 | 2009-12-24 |
| 1851312722 | George Ramsis Bishay | Physical Therapist | 444 Willis Ave, Bronx, NY 10455-4013 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946331 | Nutrished Dietitian Nutrition Solutions, P.C. | Dietitian, Registered | 2825 Third Ave Suite #301, Bronx, NY 10455 | 2020-09-15 |
| 1538641907 | Michelle Flores | Pharmacy Technician | 754 E 151 St, Bronx, NY 10455 | 2018-09-03 |
| 1669973285 | Uhc Adult Day Program & Transportation Services, Inc | Non-emergency Medical Transport (VAN) | 368, East 149th Street Suite 3a, Bronx, NY 10455 | 2018-02-28 |
| 1578061206 | Ursula Ma Stafford | Case Management | 391 East 149 St, Suite 417, Bronx, NY 10455 | 2018-01-29 |
| 1942714506 | Chantal J George | Case Manager/Care Coordinator | 391 East 149th Street, 417, Bronx, NY 10455 | 2017-11-18 |
| 1598295800 | Sonrisa Corp | Pharmacy | 755b East 149th St, Bronx, NY 10455 | 2017-06-19 |
| 1962931378 | Josepjh Appau | Licensed Practical Nurse | 512 Jackson Avenue, Apt 2a, Bronx, NY 10455 | 2017-06-08 |
| 1295187664 | Leticia Robles | Social Worker | 480 Concord Avenue Apt#3j, Bronx, NY 10455 | 2016-07-08 |
| 1811350242 | Jenna Medical Office PC | Family Medicine | 2742 Third Avenue, Bronx, NY 10455 | 2016-04-02 |
| 1841656857 | Heracles Medical PC | Internal Medicine | 2825 Third Ave, Suite 7, Bronx, NY 10455 | 2016-01-06 |
| Find all providers in zip 10455 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548376171 | Reza Ghavamian | Urology | Mmc - Dept of Urology, 3400 Bainbridge Avenue, 5th Fl, Bronx, NY 10467 | 2006-08-23 |
| 1407831324 | Eric R Kreutzer | Urology | 1695 Eastchester Rd, Suite 501, Bronx, NY 10461-2374 | 2005-12-13 |
| 1902889330 | Michael Young | Urology | 2015 Grand Concourse Ste 390, Bronx, NY 10453-4303 | 2005-11-21 |
| 1669462008 | Edward Geisler | Urology | 1749 Grand Concourse Ofc A, Bronx, NY 10453-8250 | 2005-10-26 |
| 1033523212 | Azfar Uddin Shaikh | Urology | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2014-06-17 |
| 1912327594 | Evan Kovac | Urology | 1250 Waters Pl, Tower 2, 9th Floor, Bronx, NY 10461-2720 | 2014-04-22 |
| 1982949103 | Bronxcare Health System | Urology | 1650 Grand Concourse, Bronx, NY 10457 | 2012-11-28 |
| 1114275393 | Grace Thomas | Urology | 234 E 149th St, Bronx, NY 10451-5504 | 2012-08-21 |
| 1215222856 | Kara Watts | Urology | 111 E 210th St, 5th Floor, Dept. of Urology, Bronx, NY 10467-2401 | 2011-06-11 |
| 1306167796 | Jacob Howard Cohen | Urology | 1650 Selwyn Ave, 4f, Bronx, NY 10457-7626 | 2010-06-19 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.