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Organization
MONTEFIORE MEDICAL CENTER
Active
Organization
MONTEFIORE MEDICAL CENTER
Active
Parent organization
MONTEFIORE MEDICAL CENTER
Other names
MMG 1 and 3
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTEFIORE MEDICAL CENTER
Authorized official
MICHAEL G. DOWLING (DIR. OF PROV. SVCS. & NTWK. CONTRAC)
(914) 377-4668
Entity
Organization
Contact information
Practice address
1500 ASTOR AVE, BRONX, NY 10469-5900
(718) 881-0100
(914) 709-0386
Mailing address
100 CORPORATE DR, MMC - CMO, YONKERS, NY 10701-6807
(914) 378-6021
(914) 709-0386
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
10/25/2006
Last updated
07/24/2007
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