| Montefiore Dental Department | |
|
3332 Rochambeau Ave 2nd Floor Bronx NY 10467 | |
| (888) 700-6623 | |
| (718) 515-5419 |
| Full Name | Montefiore Dental Department |
|---|---|
| Speciality | Dentist |
| Location | 3332 Rochambeau Ave, Bronx, New York |
| Authorized Official Name and Position | Leonel Fernandez (ADMINISTRATOR) |
| Authorized Official Contact | 7189204167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montefiore Dental Department Po Box 4156 New York NY 10261-4156 Ph: (718) 920-4168 | Montefiore Dental Department 3332 Rochambeau Ave 2nd Floor Bronx NY 10467 Ph: (888) 700-6623 |
| NPI Number | 1588867055 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 10/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588867055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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