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Organization

MONTEFIORE CERC OPERATIONS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILIP O. OZUAH M.D, PH.D. (PRESIDENT)
(718) 920-4131
Entity
Organization

Contact information

Practice address
1225 MORRIS PARK AVENUE, BRONX, NY 10461-1929
(718) 430-8500
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
NY

Other

Enumeration date
08/27/2015
Last updated
08/27/2015
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