MMC AT IS 45 NPI 1053506378

NPI Information

MMC AT IS 45 is a multi-specialty clinic center in Bronx, NY. MMC AT IS 45 NPI is 1053506378. The provider is registered as an organization entity type.

The provider's business location address is:

MMC AT IS 45
2502 LORILARD AVENUE
BRONX, NY
ZIP 10458-997
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 9/10/2007 and was last updated on 9/10/2007.

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:

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