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General NPI Number Information
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NPI Number | 1457235087
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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 | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 3020 WESTCHESTER AVE STE 200
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City | PURCHASE
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State | NY
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Zip | 10577-2531
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Country | US
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Telephone | 914-996-7786
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CORPORATE DR STE 100
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City | YONKERS
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State | NY
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Zip | 10701-6807
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Country | US
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Telephone | 914-378-6148
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Fax |
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Authorized Official
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Title or Position | AVP CMO CREDENTIALING
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Name | WILLIAM SCESNEY
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Credential |
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Telephone | 914-512-7929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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