MEDICARE: MMC DERMATOLOGY AT 3514

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
1	261QP2300X	Primary Care Clinic/Center	7000006H	NY

General Provider Information

NPI Number	:	1801080536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MMC DERMATOLOGY AT 3514

Provider Business Mailing Address
First Line	:	CMO
Second Line	:	100 CORPORATE DRIVE
City	:	YONKERS
State	:	NY
Zip	:	10701
Country	:	US
Telephone Number	:	914-377-4722
Fax Number	:

Provider Business Practice Location Address
First Line	:	MMC DERMATOLOGY AT 3514
Second Line	:	3514 BAINBRIDGE AVENUE
City	:	BRONX
State	:	NY
Zip	:	10467-1402
Country	:	US
Telephone Number	:	914-377-4722
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MICHAEL G DOWLING
Credential	:
Telephone Number	:	914-377-4668

Provider Enumeration Date	:	09/06/2007
Last Update Date	:	09/06/2007

Similar Medicare Providers

1659566842 — MMC DERMATOLOGY AT 3514
Practice Location Address:

MMC DERMATOLOGY AT 3514 , 3514 BAINBRIDGE AVENUE
BRONX, NY
10467-1402

Practice Phone: 914-377-4722
Practice Fax:

1477829034 — MISS LISA L MARSHALL FNP
Practice Location Address:

3514 BAINBRIDGE AVE
BRONX, NY
10467-1402

Practice Phone: 718-920-2680
Practice Fax:

1215283452 — BAINBRIDGE ADULT DAY CARE CENTER II, LLC
Practice Location Address:

3518 BAINBRIDGE AVE
BRONX, NY
10467-1402

Practice Phone: 718-655-1700
Practice Fax:

1730538596 — DR. BENEDICT CHANG WU D.O./PHD.
Practice Location Address:

3514 BAINBRIDGE AVE
BRONX, NY
10467-1402

Practice Phone: 718-920-8493
Practice Fax:

1073141511 — CARSON THOMAS KIRKPATRICK MD
Practice Location Address:

3514 BAINBRIDGE AVE
BRONX, NY
10467-1402

Practice Phone: 866-633-8255
Practice Fax:

1609611516 — HARRY SMITH JEANTY
Practice Location Address:

3518 BAINBRIDGE AVE
BRONX, NY
10467-1402

Practice Phone: 718-655-1991
Practice Fax:

Directions to “MMC DERMATOLOGY AT 3514 ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.