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Organization
MONTEFIORE MEDICAL CENTER
Active
Organization
MONTEFIORE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRYANN GORDON-GRANT (SENIOR PROJECT ANALYST)
(917) 574-7488
Entity
Organization
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
(718) 920-4708
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00087
EMPIRE BLUE CROSS BLUE SH
—
05
—
00243554
—
NY
01
—
00540
EMPIRE BLUE CROSS BLUE SH
—
Enumeration date
11/22/2006
Last updated
04/13/2026
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