# MONTEFIORE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MMC Tremont Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538243209
- **Authorized official:** MICHAEL G. DOWLING (DIR. OF PROV. SVCS. & NTWRK CONTRAC)
- **Authorized official phone:** (914) 377-4668

## Contact information

- **Practice address:** 3219 E TREMONT AVE, BRONX, NY 10461-5751
- **Practice address phone:** (718) 792-8115
- **Mailing address:** 100 CORPORATE DR, MMC -CMO, YONKERS, NY 10701-6807
- **Mailing address phone:** (914) 378-6021
- **Mailing address fax:** (914) 709-0386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 03/18/2009