Provider Demographics
NPI:1346460599
Name:VA BRONX
Entity Type:Organization
Organization Name:VA BRONX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATTENDING
Authorized Official - Prefix:DR
Authorized Official - First Name:IKBAL
Authorized Official - Middle Name:FATMA
Authorized Official - Last Name:DILMEC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-584-9000
Mailing Address - Street 1:PO BOX 1143
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10116
Mailing Address - Country:US
Mailing Address - Phone:718-774-0750
Mailing Address - Fax:
Practice Address - Street 1:130 W KINGSBRIDGE RD
Practice Address - Street 2:VA BRONX
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-3904
Practice Address - Country:US
Practice Address - Phone:718-584-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-30
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY241207286500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital