Graduated: 2000
NPI: 1710959945
Practice Locations (2)
WELLCARE OF BX MEDICAL PC
2336 GRAND CONCOURSE
BRONX, NY 104586903
7182200439
MEDALLIANCE MEDICAL HEALTH SERVICES INC
625 E FORDHAM RD
BRONX, NY 104585049
7189331900
Source: CMS National Downloadable File, September 2026.