| Mmc At Ps 105 | |
|
725 Brady Avenue Mmc At Ps 105 Bronx NY 10462-2701 | |
| (914) 377-4722 | |
| Not Available |
| Full Name | Mmc At Ps 105 |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 725 Brady Avenue, Bronx, New York |
| Authorized Official Name and Position | Michael G Dowling (DIRECTOR) |
| Authorized Official Contact | 9143774668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mmc At Ps 105 100 Corporate Drive Cmo Yonkers NY 10701 Ph: (914) 377-4722 | Mmc At Ps 105 725 Brady Avenue Mmc At Ps 105 Bronx NY 10462-2701 Ph: (914) 377-4722 |
| NPI Number | 1134314479 |
|---|---|
| Provider Enumeration Date | 09/10/2007 |
| Last Update Date | 09/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134314479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 7000006H (New York) | Primary |
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