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MMC MEDICAL PARK AT 1635 POPLAR NPI 1003000779

NPI Profile

NPI: 1003000779
Provider Name: MMC MEDICAL PARK AT 1635 POPLAR
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
MMC MEDICAL PARK AT 1635 POPLAR
1635 POPLAR STREET
BRONX, NY
ZIP 10461

Phone: (914) 377-4722

MMC MEDICAL PARK AT 1635 POPLAR is a healthcare provider in Bronx, NY. MMC MEDICAL PARK AT 1635 POPLAR NPI is 1003000779. The provider is registered as an organization entity type.

The provider's business location address is:

MMC MEDICAL PARK AT 1635 POPLAR
1635 POPLAR STREET
BRONX, NY
ZIP 10461-659
Phone: (914) 377-4722

The provider's authorized official is Michael G Dowling .
The authorized official title is Director and has the following contact phone number (914) 377-4668.

The enumeration date for this NPI number is 9/5/2007 and was last updated on 9/5/2007.

Map - Location of Practice

Business Address

MMC MEDICAL PARK AT 1635 POPLAR
MMC MEDICAL PARK AT 1635 POPLAR
1635 POPLAR STREET
BRONX, NY
ZIP 10461
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Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care7000006HNEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/10/2018

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