Provider profile · NPI 1407174121

786 Medical Pc

Internal Medicine · Bronx, NY · NPI 1407174121 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Internal Medicine

Enumerated

May 5, 2010

License(s)

Addresses on file

PurposeAddressCity/StatePhone
MAILING817 E 180TH ST Bronx, NY 10460-1305718-220-8300
LOCATION817 E 180TH ST Bronx, NY 10460-1305718-220-8300

View on NPPES registry ↗

Watch this provider

Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.