Montefiore Medical Center
Clinic/Center, Student Health in Bronx, NY. Organization (NPI-2).
NPI number1013723402
StatusActive
Last updated in NPPESDec 10, 2024
Details
- NPI
- 1013723402
- Entity type
- Organization (NPI-2)
- Legal business name
- Montefiore Medical Center
- Organization subpart
- No
- Enumeration date
- Dec 10, 2024
- Certification date
- Dec 10, 2024
- Last updated
- Dec 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1000X | Clinic/Center, Student Health | – | – | Yes |
Other names
- Mmc At Bronx High School Of Science (Other Name)
Practice location
75 W 205th StBronx, NY 10468-1052
Phone 718-696-4137
Mailing address
100 Corporate Dr Ste 100Yonkers, NY 10701-6807
Phone 914-378-6148
Authorized official
John M Preolo
Senior Director
9146085063
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