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General NPI Number Information
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NPI Number | 1568285658
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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 | 11/06/2024
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 2050 E MAIN ST STE 4
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City | CORTLANDT MANOR
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State | NY
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Zip | 10567-2502
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Country | US
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Telephone | 914-736-9502
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Fax | 914-736-0749
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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 | SENIOR DIRECTOR PROVIDER CREDENTIAL
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Name | JOHN M PREOLO
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Credential |
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Telephone | 914-608-5063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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