Organization
MONTEFIORE NORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATAYOUN FAYYAZMOGHADDAMFOMANI M.D (PGY-1)
(718) 920-6662
Entity
Organization
Contact information
Practice address
600 E 233RD ST, BRONX, NY 10466-2604
(718) 920-9108
Mailing address
4345 WEBSTER AVE APT 6A, BRONX, NY 10470-2314
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
07/27/2010
Last updated
07/30/2010
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