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General NPI Number Information
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NPI Number | 1548499072
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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 | 07/06/2009
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Last Update Date | 07/06/2009
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Provider Practice Location Address
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Address Line | 1663 ROUTE 22 COLONIAL SQUARE
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City | BREWSTER
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State | NY
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Zip | 10509-4048
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Country | US
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Telephone | 914-997-1088
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Fax |
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Provider Business Mailing Address
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Address Line | 1663 ROUTE 22 COLONIAL SQUARE
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City | BREWSTER
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State | NY
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Zip | 10509-4048
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Country | US
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Telephone | 914-997-1088
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Fax |
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Authorized Official
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Title or Position | DIR. PROV SERVICES AND NTWK CONTRAC
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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