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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
1261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1396991790
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONTEFIORE MEDICAL CENTER
Provider Business Mailing Address
First Line : 100 CORPORATE DR
Second Line : CMO
City : YONKERS
State : NY
Zip : 10701-6807
Country : US
Telephone Number : 914-378-6163
Fax Number :
Provider Business Practice Location Address
First Line : 4401 BRONX BLVD
Second Line :
City : BRONX
State : NY
Zip : 10470-1407
Country : US
Telephone Number : 914-378-6163
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF PROVIDER SERVICES
Name : MICHAEL G. DOWLING
Credential : MD
Telephone Number : 914-377-4668
Provider Enumeration Date : 08/18/2008
Last Update Date : 08/18/2008

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Directions to “MONTEFIORE MEDICAL CENTER ” Practice Location

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