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Organization
MONTEFIORE MEDICAL CENTER
Active
Organization
MONTEFIORE MEDICAL CENTER
Active
Parent organization
MONTEFIORE MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTEFIORE MEDICAL CENTER
Authorized official
RANDI L KOHN (ASSISTANT VICE PRESIDENT)
(718) 920-6080
Entity
Organization
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
555 S BROADWAY, BLDG A ROOM A1 R41, TARRYTOWN, NY 10591-6301
(917) 289-2722
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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