Organization
MONTEFIORE MEDICAL CENTER
Active
Other names
MMC AECOM Substance Abuse
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G DOWLING (DIR. OF PROVIDER SERVICES & NETW)
(914) 377-4668
Entity
Organization
Contact information
Practice address
1754 RANDALL AVENUE, MMC AECOM SUBSTANCE ABUSE, BRONX, NY 10473
(718) 920-4321
Mailing address
1754 RANDALL AVENUE, MMC AECOM SUBSTANCE ABUSE, BRONX, NY 10473
(718) 920-4321
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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