Organization
MONTEFIORE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA WEISS M.D. (PROGRAM DIRECTOR)
(718) 920-7967
Entity
Organization
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-5644
(718) 920-6538
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-5644
(718) 920-6538
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
274585
NY
282N00000X
General Acute Care Hospital
Primary
274585
NY
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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