Montofiore Medical Center

NPI #1013205418 in Bronx, New York

Provider Information

NPI Number: 1013205418
Entity Type: Organization
Organization Name: Montofiore Medical Center
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 19, 2011
Last Updated: Jul 19, 2011

Practice Location

Address: 600 E 233RD ST
City: Bronx
State: New York
ZIP Code: 10466-2604
Phone: (718) 920-9523

Authorized Official

Name: TYR WILBANKS, M.D
Title: PROGRAM DIRECTOR GENERAL SURGERY
Phone: (718) 920-9523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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