Provider Demographics
NPI:1477330967
Name:BRONX HEIGHTS MEDICAL PC
Entity Type:Organization
Organization Name:BRONX HEIGHTS MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-974-0380
Mailing Address - Street 1:888 E 163RD ST STE 3
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10459-4108
Mailing Address - Country:US
Mailing Address - Phone:718-620-2244
Mailing Address - Fax:718-620-2386
Practice Address - Street 1:888 E 163RD ST STE 3
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-4108
Practice Address - Country:US
Practice Address - Phone:718-620-2244
Practice Address - Fax:718-620-2386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty