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DIABETES RELIEF CENTER OF BRONX MSO LLC
NPI 1043738586
Internal Medicine in Bronx, NY

Active since September 05, 2017
2825 3RD AVE STE 200, BRONX, NY 10455(916) 550-1050(916) 550-1238 Get Directions Write a Review

NPPES record last updated: September 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diabetes Relief Center Of Bronx Mso Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIABETES RELIEF CENTER OF BRONX MSO LLC (NPI 1043738586) is a healthcare organization registered as an internal medicine in Bronx, New York and active in the NPI registry since September 2017. The organization lists Deane' Wallace, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1043738586
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDIABETES RELIEF CENTER OF BRONX MSO LLC
Location Address2825 3RD AVE STE 200Bronx, NY 10455-4066
Mailing Address4441 Auburn Blvd Ste JSacramento, CA 95841-4139 · (916) 550-1050 · Fax (916) 550-1238
Phone(916) 550-1050
Fax(916) 550-1238
Organization SubpartNo
Authorized OfficialDeane' WallaceCredentialing Specialist · (916) 571-9041
Enumeration DateSeptember 5, 2017
✔ NPI 1043738586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2825 3RD AVE STE 200, Bronx, NY 10455
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BASRI MD DIABETES RELIEF PC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2825 3RD AVE STE 200
BRONX, NY 10455
Bronx County (916) 550-1050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diabetes Relief Center Of Bronx Mso LLC's NPI number?

The NPI number for Diabetes Relief Center Of Bronx Mso LLC is 1043738586. It was assigned to this organization in the NPPES registry on September 5, 2017.

Where is Diabetes Relief Center Of Bronx Mso LLC located?

Diabetes Relief Center Of Bronx Mso LLC is located at 2825 3rd Ave Ste 200, Bronx, NY 10455. The listed phone number is (916) 550-1050.

What is Diabetes Relief Center Of Bronx Mso LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Diabetes Relief Center Of Bronx Mso LLC was last updated on September 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.