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Organization

MONTEFIORE MEDICAL CENTER

Active
Other names
Montefiore Dental at 5500
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL G DOWLING (CHIEF ADMINSTRATION OFFICER)
(914) 377-4668
Entity
Organization

Contact information

Practice address
5500 BROADWAY, SUITE 102, BRONX, NY 10463-5238
(347) 577-4950
(347) 577-4926
Mailing address
5500 BROADWAY, SUITE 102, BRONX, NY 10463-5238
(347) 577-4950
(347) 577-4926

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
09/28/2011
Last updated
09/28/2011
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