# MONTEFIORE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MMC at PS 64
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356665426
- **Authorized official:** MICHAEL DOWLING (DIR PROVIDER SERVICES)
- **Authorized official phone:** (914) 377-4668

## Contact information

- **Practice address:** 1425 WALTON AVE, BRONX, NY 10452-6901
- **Practice address phone:** (718) 681-8088
- **Mailing address:** 1425 WALTON AVE, BRONX, NY 10452-6901

## Taxonomy

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

## Other

- **Enumeration date:** 03/18/2010
- **Last updated:** 03/19/2010
