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Organization

MONTEFIORE MEDICAL CENTER

Active
Other names
MMC at IS 229
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN M PREOLO (SENIOR DIRECTOR, CREDENTIALING)
(914) 608-5063
Entity
Organization

Contact information

Practice address
275 HARLEM RIVER PARK BRG, BRONX, NY 10453-6409
(718) 860-2515
Mailing address
100 CORPORATE DR STE 100, YONKERS, NY 10701-6807
(914) 378-6148

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary

Other

Enumeration date
03/12/2025
Last updated
03/12/2025
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