| Montefiore Medical Center | |
|
1619 Boston Rd Bronx NY 10460-4945 | |
| (718) 589-2803 | |
| (718) 589-2805 |
| Full Name | Montefiore Medical Center |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 1619 Boston Rd, Bronx, New York |
| Authorized Official Name and Position | Michael G Dowling (VP AND CAO) |
| Authorized Official Contact | 9143774668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montefiore Medical Center 1619 Boston Rd Bronx NY 10460-4945 Ph: (718) 589-2803 | Montefiore Medical Center 1619 Boston Rd Bronx NY 10460-4945 Ph: (718) 589-2803 |
| NPI Number | 1639635535 |
|---|---|
| Provider Enumeration Date | 02/15/2019 |
| Last Update Date | 02/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639635535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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