Organization
MONTEFIORE MEDICAL CENTER
Active
Other names
MMC Tremont Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G. DOWLING (DIR. OF PROV. SVCS. & NTWRK CONTRAC)
(914) 377-4668
Entity
Organization
Contact information
Practice address
3219 E TREMONT AVE, BRONX, NY 10461-5751
(718) 792-8115
Mailing address
100 CORPORATE DR, MMC -CMO, YONKERS, NY 10701-6807
(914) 378-6021
(914) 709-0386
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
03/18/2009
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