Mmc Medical Park at 1635 Poplar

NPI #1003000779 in Bronx, New York

Provider Information

NPI Number: 1003000779
Entity Type: Organization
Organization Name: Mmc Medical Park at 1635 Poplar
Subpart: Yes (part of a larger organization)
Parent Organization: MONTEFIORE MEDICAL CENTER
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Sep 5, 2007
Last Updated: Sep 5, 2007

Practice Location

Address: MMC MEDICAL PARK AT 1635 POPLAR
Address 2: 1635 POPLAR STREET
City: Bronx
State: New York
ZIP Code: 10461-2659
Phone: (914) 377-4722

Authorized Official

Name: MICHAEL G DOWLING
Title: DIRECTOR
Phone: (914) 377-4668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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