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NPI Code Detail

MEDICARE: MONTEFIORE MEDICAL CENTER

MEDICARE: MONTEFIORE MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207K00000XAllergy & Immunology Physician
2207Q00000XFamily Medicine Physician
3207V00000XObstetrics & Gynecology Physician
4208000000XPediatrics Physician
5208100000XPhysical Medicine & Rehabilitation Physician
62085R0202XDiagnostic Radiology Physician
7208600000XSurgery Physician
8207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1003990763
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONTEFIORE MEDICAL CENTER
Provider Business Mailing Address
First Line : 100 CORPORATE DR
Second Line : MMC - CMO
City : YONKERS
State : NY
Zip : 10701-6807
Country : US
Telephone Number : 914-378-6021
Fax Number : 914-709-0386
Provider Business Practice Location Address
First Line : 1500 ASTOR AVE
Second Line :
City : BRONX
State : NY
Zip : 10469-5900
Country : US
Telephone Number : 718-881-0100
Fax Number : 914-709-0386
Authorized Official
Title or Position : DIR. OF PROV. SVCS. & NTWK. CONTRAC
Name : MICHAEL G. DOWLING
Credential :
Telephone Number : 914-377-4668
Provider Enumeration Date : 10/25/2006
Last Update Date : 07/24/2007

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Directions to “MONTEFIORE MEDICAL CENTER ” Practice Location

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