Organization
MONTEFIORE MEDICAL CENTER
Active
Other names
Montefiore at PS 199
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G DOWLING (CAO)
(914) 377-4668
Entity
Organization
Contact information
Practice address
1449 SHAKESPEARE AVE, BRONX, NY 10452-1800
(718) 293-4327
(718) 293-4326
Mailing address
100 CORPORATE DR STE 100, YONKERS, NY 10701-6807
(914) 377-4722
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00088239
—
NY
Enumeration date
10/18/2018
Last updated
10/18/2018
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