MMC MANHATTAN PRACTICE AT PARK AVE


Address: 969 Park Avenue, Mmc Manhattan Practice At Park Ave, New York, NY 10028-0322
Phone: 9143774722

MMC MANHATTAN PRACTICE AT PARK AVE (NPI# 1578758850) 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) 1578758850
Entity Type Organization
Organization Name MMC MANHATTAN PRACTICE AT PARK AVE
Practice Address 969 Park Avenue
Mmc Manhattan Practice At Park Ave
New York
NY 10028-0322
Mailing Address 100 Corporate Drive
Cmo
Yonkers
NY 10701
Practice Telephone 9143774722
Mailing Telephone 9143774722
Enumeration Date 2007-09-11
Last Update Date 2007-09-11
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 261QM1300X Clinic/Center
Specialization: Multi-Specialty
7000006H NY Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1639363302 Mmc Manhattan Practice At Park Ave Clinic/Center Mmc Manhattan Practice At Park Ave, 969 Park Avenue, New York, NY 10028-0322 2007-09-05

Office Location

Street Address 969 PARK AVENUE
MMC MANHATTAN PRACTICE AT PARK AVE
City NEW YORK
State NY
Zip Code 10028-0322

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10028

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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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