Healthcare Provider Details

I. General information

NPI: 1578071981
Provider Name (Legal Business Name): MONTEFIORE NEW ROCHELLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2018
Last Update Date: 01/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1214 PELHAM PKWY S
BRONX NY
10461-1042
US

IV. Provider business mailing address

1214 PELHAM PKWY S
BRONX NY
10461-1042
US

V. Phone/Fax

Practice location:
  • Phone: 718-824-2200
  • Fax:
Mailing address:
  • Phone: 718-824-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY J ALFANO
Title or Position: VP EXECUTIVE DIRECTOR
Credential:
Phone: 914-365-3636