Healthcare Provider Details

I. General information

NPI: 1558510032
Provider Name (Legal Business Name): MONTEFIORE MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2008
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E 233RD ST
BRONX NY
10466-2604
US

IV. Provider business mailing address

100 CORPORATE DR
YONKERS NY
10701-6807
US

V. Phone/Fax

Practice location:
  • Phone: 718-920-9000
  • Fax: 914-709-0386
Mailing address:
  • Phone: 914-378-6163
  • Fax: 914-709-0386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL G. DOWLING
Title or Position: DIRECTOR OF PROVIDER SERVICES
Credential:
Phone: 914-378-4668