Provider Demographics
NPI:1821721879
Name:BRONX MEDICAL SERVICES 21 P.C.
Entity Type:Organization
Organization Name:BRONX MEDICAL SERVICES 21 P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-586-7313
Mailing Address - Street 1:652 E FORDHAM RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-5020
Mailing Address - Country:US
Mailing Address - Phone:718-928-7099
Mailing Address - Fax:718-871-0063
Practice Address - Street 1:652 E FORDHAM RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-5020
Practice Address - Country:US
Practice Address - Phone:718-928-7099
Practice Address - Fax:718-871-0063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-07
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty