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Organization
MONTEFIORE MEDICAL CENTER
Active
Organization
MONTEFIORE MEDICAL CENTER
Active
Other names
SATP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN M BERNSTEIN (SENIOR DIRECTOR HSR)
(718) 405-4121
Entity
Organization
Contact information
Practice address
2058 JEROME AVE, BRONX, NY 10453-1817
(917) 564-8775
(917) 564-8785
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(917) 564-8775
(917) 564-8785
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02998167
—
NY
Enumeration date
04/07/2016
Last updated
04/07/2016
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