- Practice location
- 725 Brady Avenue, Mmc At Ps 105, Bronx, NY 10462-2701
- Phone
- 914-377-4722
- Fax
- —
- Last updated
- September 10, 2007
Mmc At Ps 105 is a healthcare organization based in Bronx, NY. Mmc At Ps 105 practices in Bronx, NY. The NPI Number for Mmc At Ps 105 is 1134314479 and holds a License No. 7000006H (NY). The current practice location address for Mmc At Ps 105 is 725 Brady Avenue, Mmc At Ps 105, Bronx, NY 10462-2701 and can be reached out via phone at 914-377-4722.
Provider Profile Details
- NPI Number
- 1134314479
- Provider Name
- Mmc At Ps 105
- Provider Entity Type
- Organization
- Address
- 725 Brady Avenue, Mmc At Ps 105, Bronx, NY 10462-2701
- Phone Number
- 914-377-4722
- Primary Taxonomy
- Clinic/Center, Multi-Specialty · 261QM1300X
- Organization Subpart
- Yes
- Parent Organization
- Montefiore Medical Center
- Authorized Official
- Michael G Dowling · Director · 914-377-4668
- Provider Enumeration Date
- September 10, 2007
- Last Update Date
- September 10, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 725 Brady Avenue
Mmc At Ps 105
Bronx, NY 10462-2701 - City
- Bronx
- State
- New York
- Zip
- 10462-2701
- Phone Number
- 914-377-4722
Provider Business Mailing Address Details
- Address
- 100 Corporate Drive
Cmo
Yonkers, NY 10701 - City
- Yonkers
- State
- NY
- Zip
- 10701
- Phone Number
- 914-377-4722
License Information
- License Number
- 7000006H
- License State
- NY
- Taxonomy
- Clinic/Center, Multi-Specialty · 261QM1300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mmc At Ps 105?
The NPI number of Mmc At Ps 105 is 1134314479. It was assigned on September 10, 2007 and is currently active in the NPPES registry.
What is the specialty of Mmc At Ps 105?
Mmc At Ps 105 is registered under the primary taxonomy Clinic/Center, Multi-Specialty (code 261QM1300X), licensed in NY under license number 7000006H.
Where does Mmc At Ps 105 practice?
The practice location is 725 Brady Avenue, Mmc At Ps 105, Bronx, NY 10462-2701. The office can be reached at 914-377-4722 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134314479 directly on the NPPES registry website.