| Organization Name: | COMMUNITY PRIMARY CARE MEDICAL SERVICES PLLC |
| NPI Number: | 1518266097 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | OKON E UMANA (PRESIDENT) |
| Mailing Address: | 2955 Webster Ave Bronx |
| State: | NY US |
| Postal Code: | 104582424 |
| Phone Number: | 7186766501 |
| Fax Number: | 7186766504 |
| NPI Enumeration Date: | 03/23/2011 |
| NPI Last Update Date: | 08/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |