Provider Demographics
NPI:1215030440
Name:DOC MEDICAL OFFICE OF BRONX PC
Entity Type:Organization
Organization Name:DOC MEDICAL OFFICE OF BRONX PC
Other - Org Name:DOCS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJEEV
Authorized Official - Middle Name:
Authorized Official - Last Name:SINDHWANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-792-7600
Mailing Address - Street 1:116 FIFTH AVE
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-1504
Mailing Address - Country:US
Mailing Address - Phone:718-792-7600
Mailing Address - Fax:718-792-3903
Practice Address - Street 1:3251 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-4509
Practice Address - Country:US
Practice Address - Phone:718-792-7600
Practice Address - Fax:718-792-3903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY205402637174400000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWYRPT1Medicare PIN
NYWYQYY1Medicare PIN