Mmc At 3355 Bainbridge Avenue
Clinic/Center, Primary Care in Bronx, NY. Organization (NPI-2).
NPI number1265620439
StatusActive
Last updated in NPPESOct 12, 2007
Details
- NPI
- 1265620439
- Entity type
- Organization (NPI-2)
- Legal business name
- Mmc At 3355 Bainbridge Avenue
- Organization subpart
- Yes
- Enumeration date
- Oct 12, 2007
- Last updated
- Oct 12, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 7000006H | NY | Yes |
Practice location
Mmc At 3355 Bainbridge Avenue3355 Bainbridge Avenue
Bronx, NY 10467-2801
Phone 914-377-4722
Mailing address
Cmo100 Corporate Drive
Yonkers, NY 10701
Phone 914-377-4722
Authorized official
Michael G Dowling
Director
9143774668
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