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MMC MEDICAL PARK AT 1515 BLONDELL NPI 1376737049


NPI Information

NPI: 1376737049
Provider Name: MMC MEDICAL PARK AT 1515 BLONDELL
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
MMC MEDICAL PARK AT 1515 BLONDELL
1515 BLONDELL AVENUE
BRONX, NY
ZIP 10461
Phone: (914) 377-4722
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MMC MEDICAL PARK AT 1515 BLONDELL is a primary care clinic center in Bronx, NY. MMC MEDICAL PARK AT 1515 BLONDELL NPI is 1376737049. The provider is registered as an organization entity type.

The provider's business location address is:

MMC MEDICAL PARK AT 1515 BLONDELL
1515 BLONDELL AVENUE
BRONX, NY
ZIP 10461-601
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.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.