NYCCC
Managed Care Organizations at Waters Pl, Bronx, NY

License number
New York 2084P0804X
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: MISS BRENDA GRIER M.D., D.O.
Title: ADMINISTRATIVE SECRETARY 1
Phone: (718) 239-3745
Address
Address
1000 Waters Pl, Bronx, NY 10461
National Provider ID: 1245612803
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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