Organization
MONTEFIORE MEDICAL CENTER
Active
Parent organization
MONTEFIORE MEDICAL CENTER
Other names
MMC DOSA PROGRAM AT 138TH ST
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTEFIORE MEDICAL CENTER
Authorized official
MICHAEL G DOWLING (DIRECTOR)
(914) 377-4668
Entity
Organization
Contact information
Practice address
804 E 138TH ST, MMC DOSA PROGRAM AT 138TH ST, BRONX, NY 10454-1902
(718) 665-7500
Mailing address
100 CORPORATE DRIVE, CMO, YONKERS, NY 10701
(914) 377-4722
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
7000006H
NY
Other
Enumeration date
09/10/2007
Last updated
11/30/2009
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