MMC AT JACKSON AVE FAMILY RESIDENCE NPI 1285829507

NPI Information

NPI: 1285829507
Provider Name: MMC AT JACKSON AVE FAMILY RESIDENCE
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
MMC AT JACKSON AVE FAMILY RESIDENCE
691 EAST 138TH STREET
BRONX, NY
ZIP 10454
Phone: (914) 377-4722
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MMC AT JACKSON AVE FAMILY RESIDENCE is a multi-specialty clinic center in Bronx, NY. MMC AT JACKSON AVE FAMILY RESIDENCE NPI is 1285829507. The provider is registered as an organization entity type.

The provider's business location address is:

MMC AT JACKSON AVE FAMILY RESIDENCE
691 EAST 138TH STREET
BRONX, NY
ZIP 10454-307
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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	7000006H	NEW YORK	Yes

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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