Organization
MONTEFIORE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LEONARD (DIRECTOR)
(718) 920-8425
Entity
Organization
Contact information
Practice address
3400 BAINBRIDGE MMC, BRONX, NY 10467-2404
(718) 920-4646
(718) 405-9014
Mailing address
3400 BAINBRIDGE AVE # MMC, BRONX, NY 10467-2404
(718) 920-4646
(718) 405-9014
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
019240-1
NY
281P00000X
Chronic Disease Hospital
019249-1
NY
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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