Organization
MONTEFIORE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MODA (CREDENTIALING SPECIALIST)
(718) 920-4806
Entity
Organization
Contact information
Practice address
150 E 210TH ST, BRONX, NY 10467-2412
(718) 920-4806
Mailing address
150 E 210TH ST, BRONX, NY 10467-2412
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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