Organization
MONTEFIORE MEDICAL CENTER
Active
Other names
MMC DOSA PROGRAM AT 138TH ST
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G DOWLING (DIRECTOR)
(914) 377-4668
Entity
Organization
Contact information
Practice address
804 EAST 138TH STREET, MMC DOSA PROGRAM AT 138TH ST, BRONX, NY 10454
(718) 665-7500
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
12/02/2009
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