Organization
MONTEFIORE MEDICAL CENTER
Active
Other names
MMC at PS 64
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DOWLING (DIR PROVIDER SERVICES)
(914) 377-4668
Entity
Organization
Contact information
Practice address
1425 WALTON AVE, BRONX, NY 10452-6901
(718) 681-8088
Mailing address
1425 WALTON AVE, BRONX, NY 10452-6901
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2010
Last updated
03/19/2010
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