# MONTEFIORE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Montefiore Dental at 5500
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205110038
- **Authorized official:** MICHAEL G DOWLING (CHIEF ADMINSTRATION OFFICER)
- **Authorized official phone:** (914) 377-4668

## Contact information

- **Practice address:** 5500 BROADWAY, SUITE 102, BRONX, NY 10463-5238
- **Practice address phone:** (347) 577-4950
- **Practice address fax:** (347) 577-4926
- **Mailing address:** 5500 BROADWAY, SUITE 102, BRONX, NY 10463-5238
- **Mailing address phone:** (347) 577-4950
- **Mailing address fax:** (347) 577-4926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/28/2011
- **Last updated:** 09/28/2011