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General NPI Number Information
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NPI Number | 1790060606
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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 | 10/12/2011
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Last Update Date | 10/12/2011
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Provider Practice Location Address
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Address Line | 890 PROSPECT AVE
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City | BRONX
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State | NY
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Zip | 10459-3978
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Country | US
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Telephone | 718-991-0605
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Fax | 347-498-2751
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Provider Business Mailing Address
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Address Line | 890 PROSPECT AVE
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City | BRONX
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State | NY
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Zip | 10459-3978
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Country | US
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Telephone | 718-991-0605
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Fax | 347-498-2751
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Authorized Official
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Title or Position | CHIEF ADMINSTRATIVE OFFICE
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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