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General NPI Number Information
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NPI Number | 1336427574
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Entity Type | Organization
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Legal Business Name | MONTEFIORE MEDICAL CENTER
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Dates
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Enumeration Date | 07/21/2011
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Last Update Date | 07/21/2011
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Provider Practice Location Address
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Address Line | 3415 BAINBRIDGE AVE
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City | BRONX
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State | NY
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Zip | 10467-2403
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Country | US
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Telephone | 718-741-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 3415 BAINBRIDGE AVE
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City | BRONX
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State | NY
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Zip | 10467-2403
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | RESIDENCY PROGRAM DIRECTOR
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Name | DR. SARA ROSS
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Credential |
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Telephone | 719-741-2453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | 282NC2000X
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License Number State | NY
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