- Practice location
- 1041 University Avenue, Mmc University Avenue Family Res, Bronx, NY 10452-4204
- Phone
- 914-377-4722
- Fax
- —
- Last updated
- September 10, 2007
Mmc University Avenue Family Residence is a healthcare organization based in Bronx, NY. Mmc University Avenue Family Residence practices in Bronx, NY. The NPI Number for Mmc University Avenue Family Residence is 1487849782 and holds a License No. 7000006H (NY). The current practice location address for Mmc University Avenue Family Residence is 1041 University Avenue, Mmc University Avenue Family Res, Bronx, NY 10452-4204 and can be reached out via phone at 914-377-4722.
Provider Profile Details
- NPI Number
- 1487849782
- Provider Name
- Mmc University Avenue Family Residence
- Provider Entity Type
- Organization
- Address
- 1041 University Avenue, Mmc University Avenue Family Res, Bronx, NY 10452-4204
- 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
- 1041 University Avenue
Mmc University Avenue Family Res
Bronx, NY 10452-4204 - City
- Bronx
- State
- New York
- Zip
- 10452-4204
- 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 University Avenue Family Residence?
The NPI number of Mmc University Avenue Family Residence is 1487849782. It was assigned on September 10, 2007 and is currently active in the NPPES registry.
What is the specialty of Mmc University Avenue Family Residence?
Mmc University Avenue Family Residence is registered under the primary taxonomy Clinic/Center, Multi-Specialty (code 261QM1300X), licensed in NY under license number 7000006H.
Where does Mmc University Avenue Family Residence practice?
The practice location is 1041 University Avenue, Mmc University Avenue Family Res, Bronx, NY 10452-4204. 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 1487849782 directly on the NPPES registry website.