# MONTEFIORE MEDICAL PARK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306990478
- **Authorized official:** AFSANA SHARMIN PA (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (646) 238-4864

## Contact information

- **Practice address:** 1625 POPLAR ST, RADIOLOGY SUITE\#100, BRONX, NY 10461-2653
- **Practice address phone:** (718) 405-8440
- **Mailing address:** 2266 GLEASON AVE APT 6A, BRONX, NY 10462-5113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | 011243-1 | NY | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 08/22/2020