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Organization

MONTEFIORE MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HILDRED MACHUCA D.O. (PEDIATRICIAN)
(718) 991-0605
Entity
Organization

Contact information

Practice address
871 PROSPECT AVE, BRONX, NY 10459-3913
(718) 991-0605
(718) 991-2931
Mailing address
11215 72ND RD, APARTMENT 505, FOREST HILLS, NY 11375-4663
(917) 705-2710

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
227890
NY

Other

Enumeration date
12/13/2006
Last updated
11/10/2025
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