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NPI Code Detail

MEDICARE: MONTEFIORE MEDICAL CENTER

MEDICARE: MONTEFIORE MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223E0200XEndodontics
21223P0221XPediatric Dentistry
31223S0112XOral and Maxillofacial Surgery (Dentist)
4122300000XDentist

General Provider Information

NPI Number : 1275710519
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONTEFIORE MEDICAL CENTER
Provider Business Mailing Address
First Line : 111 E 210TH ST
Second Line : MMC DENTAL
City : BRONX
State : NY
Zip : 10467-2401
Country : US
Telephone Number : 718-920-4167
Fax Number :
Provider Business Practice Location Address
First Line : 111 E 210TH ST
Second Line : MMC DENTAL
City : BRONX
State : NY
Zip : 10467-2401
Country : US
Telephone Number : 718-920-4167
Fax Number :
Authorized Official
Title or Position : AVP
Name : WILLIAM SCESNEY
Credential :
Telephone Number : 914-512-7929
Provider Enumeration Date : 01/29/2008
Last Update Date : 06/10/2026

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Directions to “MONTEFIORE MEDICAL CENTER ” Practice Location

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