Organization
MONTEFIORE MEDICAL CENTER
Active
Other names
MMC Via Verde
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G DOWLING (CHIEF ADMINISTRATIVE OFFICER)
(914) 377-4668
Entity
Organization
Contact information
Practice address
730 BROOK AVENUE, BRONX, NY 10455
(718) 484-1247
Mailing address
100 CORPORATE DR, CMO PROVIDER IFORMATION, YONKERS, NY 10701-6807
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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