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General NPI Number Information
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NPI Number | 1487848123
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Entity Type | Organization
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Legal Business Name | MONTEFIORE AT 1 FORDHAM PLAZA
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Dates
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Enumeration Date | 09/05/2007
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Last Update Date | 11/13/2014
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Provider Practice Location Address
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Address Line | 1 FORDHAM PLZ FAMILY HEALTH CENTER
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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 | 929-220-8400
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Fax | 929-220-8092
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Provider Business Mailing Address
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Address Line | 100 CORPORATE DR CMO
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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 | 914-377-4722
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MICHAEL G DOWLING
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Credential |
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Telephone | 914-377-4668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 7000006H
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License Number State | NY
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