Mmc Jarret Place Practice
Clinic/Center, Multi-Specialty in Bronx, NY. Organization (NPI-2).
NPI number1083809263
StatusActive
Last updated in NPPESSep 11, 2007
Details
- NPI
- 1083809263
- Entity type
- Organization (NPI-2)
- Legal business name
- Mmc Jarret Place Practice
- Organization subpart
- Yes
- Enumeration date
- Sep 11, 2007
- Last updated
- Sep 11, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | 7000006H | NY | Yes |
Practice location
1516 Jarret PlaceMmc Jarret Place Practice
Bronx, NY 10461-2607
Phone 914-377-4722
Mailing address
100 Corporate DriveCmo
Yonkers, NY 10701
Phone 914-377-4722
Authorized official
Michael G Dowling
Director
9143774668
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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