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
1	261QS1000X	Student Health Clinic/Center

General Provider Information

NPI Number	:	1942636774
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONTEFIORE MEDICAL CENTER

Provider Business Mailing Address
First Line	:	1110 BOSTON RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-5375
Country	:	US
Telephone Number	:	718-860-2515
Fax Number	:	718-860-2519

Provider Business Practice Location Address
First Line	:	1110 BOSTON RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-5375
Country	:	US
Telephone Number	:	718-860-2515
Fax Number	:	718-860-2519

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

Provider Enumeration Date	:	09/25/2013
Last Update Date	:	09/25/2013

Similar Medicare Providers

1407902711 — MS. RAINA LAREN BRABOY LCSW
Practice Location Address:

1110 BOSTON RD
BRONX, NY
10456-5375

Practice Phone: 718-860-2515
Practice Fax:

1497905632 — AUREA VIOLA FREITAS LCSW
Practice Location Address:

1110 BOSTON RD
BRONX, NY
10456-5375

Practice Phone: 718-860-2515
Practice Fax: 718-860-2519

1629393210 — MS. SHARON COOK LCSW
Practice Location Address:

1110 BOSTON RD , LYFE PROGRAM
BRONX, NY
10456-5375

Practice Phone: 646-515-3848
Practice Fax:

1265389175 — JESSICA YOO OTR/L
Practice Location Address:

960 TINTON AVE
BRONX, NY
10456-7106

Practice Phone: 646-796-5187
Practice Fax:

1376490854 — KRISZTINA SZABO
Practice Location Address:

1165 FULTON AVE APT 2B
BRONX, NY
10456-4314

Practice Phone: 347-339-8429
Practice Fax:

1568315117 — FATIMAH RAHMAN-KADIKU PHYSICIAN ASSISTANT
Practice Location Address:

1160 TELLER AVE
BRONX, NY
10456-4291

Practice Phone: 718-293-1500
Practice Fax:

Directions to “MONTEFIORE MEDICAL CENTER ” 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.