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Organization
MONTEFIORE MEDICAL CENTER
Active
Organization
MONTEFIORE MEDICAL CENTER
Active
Other names
MMC Tremont Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G. DOWLING (DIR. OF PROV. SVCS. & NTWRK CONTRAC)
(914) 377-4668
Entity
Organization
Contact information
Practice address
3219 E TREMONT AVE, BRONX, NY 10461-5751
(718) 792-8115
Mailing address
100 CORPORATE DR, MMC -CMO, YONKERS, NY 10701-6807
(914) 378-6021
(914) 709-0386
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
03/18/2009
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