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Organization
MONTEFIORE MEDICAL CENTER
Active
Organization
MONTEFIORE MEDICAL CENTER
Active
Other names
MMC Faculty Practice, One Medical
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M PREOLO (SENIOR DIRECTOR)
(914) 608-5063
Entity
Organization
Contact information
Practice address
2633 BROADWAY, NEW YORK, NY 10025-5022
(888) 663-6331
(415) 252-7176
Mailing address
100 CORPORATE DR STE 100, YONKERS, NY 10701-6807
(914) 378-6148
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
02/24/2025
Last updated
06/01/2026
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