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General NPI Number Information
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NPI Number | 1457406621
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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 | 01/25/2007
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Last Update Date | 05/06/2019
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Provider Practice Location Address
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Address Line | 1 FORDHAM PLZ SUITE 1100
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City | BRONX
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State | NY
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Zip | 10458-5871
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Country | US
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Telephone | 718-405-4400
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Fax | 718-365-4090
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Provider Business Mailing Address
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Address Line | 1 FORDHAM PLZ SUITE 1100
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City | BRONX
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State | NY
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Zip | 10458-5871
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Country | US
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Telephone | 718-405-4400
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Fax | 718-365-4090
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Authorized Official
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Title or Position | VICE PRESIDENT, FINANCE
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Name | DAVID MENASHY
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Credential |
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Telephone | 718-920-4686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 7000006H
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 7000901L
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License Number State | NY
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