Active NPIOrganization

Mmc Dermatology At 3514

Clinic/Center, Multi-Specialty in Bronx, New York

NPI Number1659566842
Practice location
Mmc Dermatology At 3514, 3514 Bainbridge Avenue, Bronx, NY 10467-1402
Fax
—
Last updated
September 11, 2007

Mmc Dermatology At 3514 is a healthcare organization based in Bronx, NY. Mmc Dermatology At 3514 practices in Bronx, NY. The NPI Number for Mmc Dermatology At 3514 is 1659566842 and holds a License No. 7000006H (NY). The current practice location address for Mmc Dermatology At 3514 is Mmc Dermatology At 3514, 3514 Bainbridge Avenue, Bronx, NY 10467-1402 and can be reached out via phone at 914-377-4722.

Provider Profile Details

NPI Number
1659566842
Provider Name
Mmc Dermatology At 3514
Provider Entity Type
Organization
Address
Mmc Dermatology At 3514, 3514 Bainbridge Avenue, Bronx, NY 10467-1402
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 Dermatology At 3514
3514 Bainbridge Avenue
Bronx, NY 10467-1402
City
Bronx
Zip
10467-1402
Phone Number
914-377-4722
Bronx, NY 10467Get directions →

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

IdentifierTypeStateIssuer
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 Dermatology At 3514?

The NPI number of Mmc Dermatology At 3514 is 1659566842. It was assigned on September 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Mmc Dermatology At 3514?

Mmc Dermatology At 3514 is registered under the primary taxonomy Clinic/Center, Multi-Specialty (code 261QM1300X), licensed in NY under license number 7000006H.

Where does Mmc Dermatology At 3514 practice?

The practice location is Mmc Dermatology At 3514, 3514 Bainbridge Avenue, Bronx, NY 10467-1402. 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 1659566842 directly on the NPPES registry website.

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