- Practice location
- Mmc At Theodore Roosevelt High School, 500 East Fordham Road, Bronx, NY 10458-5048
- Phone
- 914-377-4722
- Fax
- —
- Last updated
- September 11, 2007
Mmc At Theodore Roosevelt High School is a healthcare organization based in Bronx, NY. Mmc At Theodore Roosevelt High School practices in Bronx, NY. The NPI Number for Mmc At Theodore Roosevelt High School is 1215122593 and holds a License No. 7000006H (NY). The current practice location address for Mmc At Theodore Roosevelt High School is Mmc At Theodore Roosevelt High School, 500 East Fordham Road, Bronx, NY 10458-5048 and can be reached out via phone at 914-377-4722.
Provider Profile Details
- NPI Number
- 1215122593
- Provider Name
- Mmc At Theodore Roosevelt High School
- Provider Entity Type
- Organization
- Address
- Mmc At Theodore Roosevelt High School, 500 East Fordham Road, Bronx, NY 10458-5048
- 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 11, 2007
- Last Update Date
- September 11, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Mmc At Theodore Roosevelt High School
500 East Fordham Road
Bronx, NY 10458-5048 - City
- Bronx
- State
- New York
- Zip
- 10458-5048
- Phone Number
- 914-377-4722
Provider Business Mailing Address Details
- Address
- Cmo
100 Corporate Drive
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 Theodore Roosevelt High School?
The NPI number of Mmc At Theodore Roosevelt High School is 1215122593. It was assigned on September 11, 2007 and is currently active in the NPPES registry.
What is the specialty of Mmc At Theodore Roosevelt High School?
Mmc At Theodore Roosevelt High School is registered under the primary taxonomy Clinic/Center, Multi-Specialty (code 261QM1300X), licensed in NY under license number 7000006H.
Where does Mmc At Theodore Roosevelt High School practice?
The practice location is Mmc At Theodore Roosevelt High School, 500 East Fordham Road, Bronx, NY 10458-5048. 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 1215122593 directly on the NPPES registry website.