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General NPI Number Information
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NPI Number | 1720484769
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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 | 11/18/2014
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Last Update Date | 11/18/2014
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Provider Practice Location Address
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Address Line | 1624 CROSBY AVE
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City | BRONX
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State | NY
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Zip | 10461-5201
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Country | US
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Telephone | 718-822-2138
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Fax |
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Provider Business Mailing Address
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Address Line | 1624 CROSBY AVE
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City | BRONX
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State | NY
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Zip | 10461-5201
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Country | US
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Telephone | 718-822-2138
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Fax |
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Authorized Official
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Title or Position | CHIEF ADMIN OFFICER
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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