MMC DERMATOLOGY AT 3514 (NPI# 1659566842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659566842 |
| Entity Type | Organization |
| Organization Name | MMC DERMATOLOGY AT 3514 |
| Practice Address |
Mmc Dermatology At 3514 3514 Bainbridge Avenue Bronx NY 10467-1402 |
| Mailing Address |
Cmo 100 Corporate Drive 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
7000006H | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801080536 | Mmc Dermatology At 3514 | Clinic/Center | Mmc Dermatology At 3514, 3514 Bainbridge Avenue, Bronx, NY 10467-1402 | 2007-09-06 |
| Street Address |
MMC DERMATOLOGY AT 3514 3514 BAINBRIDGE AVENUE |
| City | BRONX |
| State | NY |
| Zip Code | 10467-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801080536 | Mmc Dermatology At 3514 | Clinic/Center | Mmc Dermatology At 3514, 3514 Bainbridge Avenue, Bronx, NY 10467-1402 | 2007-09-06 |
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|---|---|---|---|---|
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| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
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| 1093142861 | Dedicated Acquisition Strategies Inc | Clinic/Center | 682-684 E 233rd Street, Bronx, NY 10466 | 2013-10-10 |
| 1326337890 | Valley Medical Services, P.C. | Clinic/Center | 3000 Eastchester Rd, Bronx, NY 10469-3202 | 2011-04-05 |
| 1548490766 | Montefiore Medical Center | Clinic/Center | 1521 Jarrett Pl, Bronx, NY 10461-2606 | 2009-07-22 |
| 1639309982 | Montefiore Medical Center | Clinic/Center | 1754 Randall Avenue, Mmc Aecom Substance Abuse, Bronx, NY 10473 | 2009-07-21 |
| 1780819540 | Bronx Pulmonary Center LLC | Clinic/Center | 441 E Tremont Ave, Bronx, NY 10457-4301 | 2009-05-22 |
| 1851580872 | Mmc At 3514 Wayne Avenue | Clinic/Center | Mmc At 3514 Wayne Avenue, 3514 Wayne Avenue, Bronx, NY 10467-1564 | 2007-10-16 |
| 1083809263 | Mmc Jarret Place Practice | Clinic/Center | 1516 Jarret Place, Mmc Jarret Place Practice, Bronx, NY 10461-2607 | 2007-09-11 |
| 1437344611 | Mmc Jamaica Assessment Center | Clinic/Center | 175-10 88th Avenue, Mmc Jamaica Assessment Center, Bronx, NY 11432-5720 | 2007-09-11 |
| 1629263801 | Mmc Johnson Avenue Practice | Clinic/Center | 3510 Johnson Avenue, Mmc Johnson Avenue Practice, Bronx, NY 10463-1603 | 2007-09-11 |
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| 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.