Organization · NPI-2

Children'S Hospital At Montefiore

Dietitian, Registered · Bronx, NY

NPI number1033958350
StatusActive
Last updated in NPPESJun 3, 2024

Details

NPI
1033958350
Entity type
Organization (NPI-2)
Legal business name
Children'S Hospital At Montefiore
Organization subpart
No
Enumeration date
May 24, 2024
Certification date
Jun 3, 2024
Last updated
Jun 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes
251300000X Local Education Agency (LEA)––

Practice location

111 E 210th St
Bronx, NY 10467-2401

Phone 718-920-4321

Mailing address

3360 Wallace Ave Fl 2
Bronx, NY 10467-6217

Phone 631-949-5173

Other practice locations

3415 Bainbridge Ave
Bronx, NY 10467-2403

Phone 718-741-2426

Authorized official

Monika Gorczyca
Credentialing Specialist
7187412487

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