Organization
MMC MEDICAL PARK AT 1515 BLONDELL
Active
Organization
MMC MEDICAL PARK AT 1515 BLONDELL
Active
Parent organization
MONTEFIORE MEDICAL CENTER
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
MMC MEDICAL PARK AT 1515 BLONDELL, 1515 BLONDELL AVENUE, BRONX, NY 10461-2601
(914) 377-4722
Mailing address
CMO, 100 CORPORATE DRIVE, YONKERS, NY 10701
(914) 377-4722
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
7000006H
NY
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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