MMC AT SARAH BURKE NPI 1114184017

NPI Information

NPI: 1114184017
Provider Name: MMC AT SARAH BURKE
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
111 E 210TH ST
BRONX, NY
ZIP 10467
Phone: (914) 378-6163
Get Directions

MMC AT SARAH BURKE is a health service clinic center in Bronx, NY. MMC AT SARAH BURKE NPI is 1114184017. The provider is registered as an organization entity type.

The provider's business location address is:

111 E 210TH ST
BRONX, NY
ZIP 10467-401
Phone: (914) 378-6163

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

The enumeration date for this NPI number is 5/19/2008 and was last updated on 5/19/2008.

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
1	261QH0100X	Clinic/Center	Health Service			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	WLW981	MEDICARE PIN	NEW YORK

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: 11/14/2023

NPI Synchronization or Removal

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