Organization
MONTEFIORE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHEILA FRANCIS (CREDENTIALING MANGER)
(718) 920-5292
Entity
Organization
Contact information
Practice address
111 E 210TH ST FL 4, BRONX, NY 10467-2401
(718) 920-5595
Mailing address
111 E 210TH ST FL 4, BRONX, NY 10467-2401
(718) 920-5595
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
COLOA1
NY
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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