# MMC AT CES 55/IS 55

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MONTEFIORE MEDICAL CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780879080
- **Legal business name:** MONTEFIORE MEDICAL CENTER
- **Authorized official:** MICHAEL G DOWLING (DIRECTOR)
- **Authorized official phone:** (914) 377-4668

## Contact information

- **Practice address:** MMC AT CES 55/IS 55, 450 ST. PAUL'S PLACE, BRONX, NY 10456-1938
- **Practice address phone:** (914) 377-4722
- **Mailing address:** CMO, 100 CORPORATE DRIVE, YONKERS, NY 10701
- **Mailing address phone:** (914) 377-4722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 7000006H | NY | Yes |

## Other

- **Enumeration date:** 09/10/2007
- **Last updated:** 09/10/2007