Provider Demographics
NPI:1295557320
Name:BRONX HEALTH WELLNESS MEDICINE PC
Entity type:Organization
Organization Name:BRONX HEALTH WELLNESS MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEIKH
Authorized Official - Middle Name:MAHFUZUL
Authorized Official - Last Name:HOQ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-257-1804
Mailing Address - Street 1:944 E 233RD ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-3218
Mailing Address - Country:US
Mailing Address - Phone:718-798-8233
Mailing Address - Fax:718-798-1015
Practice Address - Street 1:944 E 233RD ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-3218
Practice Address - Country:US
Practice Address - Phone:718-798-8233
Practice Address - Fax:718-798-1015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-29
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty