Organization
MONTEFIORE MEDICAL CENTER
Active
Other names
WASHINGTON AVE AT 1011 BEHAVIORAL HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M PREOLO (SENIOR CREDENTIALING DIRECTOR)
(914) 608-5063
Entity
Organization
Contact information
Practice address
1011 WASHINGTON AVE, BRONX, NY 10456-6619
(929) 285-4800
(914) 471-9587
Mailing address
100 CORPORATE DR STE 100, YONKERS, NY 10701-6807
(914) 378-6148
(914) 457-9517
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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