Organization
MMC SATP UNIT 3 AT 2005 JEROME
Active
Parent organization
MONTEFIORE MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTEFIORE MEDICAL CENTER
Authorized official
MICHAEL G DOWLING (DIRECTOR)
(914) 377-4668
Entity
Organization
Contact information
Practice address
MMC SATP UNIT 3 AT 2005 JEROME, 2005 JEROME AVENUE, BRONX, NY 10453-1803
(914) 377-4722
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
09/05/2007
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