# MONTEFIORE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MMC at Bronx High School of Science
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013723402
- **Authorized official:** JOHN M PREOLO (SENIOR DIRECTOR)
- **Authorized official phone:** (914) 608-5063

## Contact information

- **Practice address:** 75 W 205TH ST, BRONX, NY 10468-1052
- **Practice address phone:** (718) 696-4137
- **Mailing address:** 100 CORPORATE DR STE 100, YONKERS, NY 10701-6807
- **Mailing address phone:** (914) 378-6148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/10/2024
- **Last updated:** 12/10/2024