# MONTEFIORE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MMC at Adlai E. Stevenson Campus
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396147641
- **Authorized official:** MICHAEL G DOWLING (CHIEF ADMIN OFFICER)
- **Authorized official phone:** (914) 377-4668

## Contact information

- **Practice address:** 1980 LAFAYETTE AVE, BRONX, NY 10473-2525
- **Practice address phone:** (718) 794-7070
- **Practice address fax:** (718) 794-7075
- **Mailing address:** 1980 LAFAYETTE AVE, BRONX, NY 10473-2525
- **Mailing address phone:** (718) 794-7070
- **Mailing address fax:** (718) 794-7075

## Taxonomy

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

## Other

- **Enumeration date:** 09/18/2014
- **Last updated:** 09/18/2014