Provider Demographics
NPI:1811235435
Name:NORTH BRONX HEALTHCARE NETWORK
Entity Type:Organization
Organization Name:NORTH BRONX HEALTHCARE NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:BROWNE
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:718-918-4426
Mailing Address - Street 1:1400 PELHAM PKWY S BAY PARKWAY
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1119
Mailing Address - Country:US
Mailing Address - Phone:718-918-4426
Mailing Address - Fax:
Practice Address - Street 1:1400 PELHAM PKWY S BAY PARKWAY
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1119
Practice Address - Country:US
Practice Address - Phone:718-918-4426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical