Basic Information
| Provider Information | |||||||||
| NPI: | 1649628074 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MONTEFIORE MEDICAL CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 110 EAST 210TH DT | ||||||||
| Address2: | BRONX | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10467 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189204417 | ||||||||
| FaxNumber: | 7189208375 | ||||||||
| Practice Location | |||||||||
| Address1: | 110 EAST 210TH ST | ||||||||
| Address2: | BRONX | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10467 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189204417 | ||||||||
| FaxNumber: | 7189208375 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/26/2016 | ||||||||
| LastUpdateDate: | 05/26/2016 | ||||||||
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| AuthorizedOfficialLastName: | RODRIGUEZ | ||||||||
| AuthorizedOfficialFirstName: | LOURDES | ||||||||
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| AuthorizedOfficialTitleorPosition: | EDUCATION ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 7189204417 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | Y | Hospitals | General Acute Care Hospital |
No ID Information.