Organization
MONTEFIORE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER EILEEN WANG P.A. (PHYSICIAN ASSISTANT)
(718) 920-6136
Entity
Organization
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-6136
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-6136
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
006036-1
NY
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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