MMC WEST FARMS PRACTICE


Address: 1055 East Tremont Avenue, Mmc West Farms Practice, Bronx, NY 10460-2306
Phone: 9143774722

MMC WEST FARMS PRACTICE (NPI# 1275727935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275727935
Entity Type Organization
Organization Name MMC WEST FARMS PRACTICE
Practice Address 1055 East Tremont Avenue
Mmc West Farms Practice
Bronx
NY 10460-2306
Mailing Address 100 Corporate Drive
Cmo
Yonkers
NY 10701
Practice Telephone 9143774722
Mailing Telephone 9143774722
Enumeration Date 2007-09-05
Last Update Date 2007-09-05
Authorized Official Name MICHAEL G DOWLING (DIRECTOR)
Authorized Official Telephone 9143774668
Is Organization Subpart Y
Parent Organization Name MONTEFIORE MEDICAL CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
7000006H NY Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1215122510 Mmc West Farms Practice Clinic/Center 1055 East Tremont Avenue, Mmc West Farms Practice, Bronx, NY 10460-2306 2007-09-10

Office Location

Street Address 1055 EAST TREMONT AVENUE
MMC WEST FARMS PRACTICE
City BRONX
State NY
Zip Code 10460-2306

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215122510 Mmc West Farms Practice Clinic/Center 1055 East Tremont Avenue, Mmc West Farms Practice, Bronx, NY 10460-2306 2007-09-10

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City BRONX
Zip Code 10460

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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