Organization
MONTEFIORE MEDICAL CENTER
Active
Parent organization
MONTEFIORE MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTEFIORE MEDICAL CENTER
Authorized official
RANDI L KOHN (ASSISTANT VICE PRESIDENT)
(718) 920-6080
Entity
Organization
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
555 S BROADWAY, BLDG A ROOM A1 R41, TARRYTOWN, NY 10591-6301
(917) 289-2722
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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