MMC FAMILY HEALTH CENTER AT 193RD ST


Address: 360 East 193rd Street, Mmc Family Health Center At 193rd St, Bronx, NY 10458-4710
Phone: 9143774722

MMC FAMILY HEALTH CENTER AT 193RD ST (NPI# 1215122494) 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) 1215122494
Entity Type Organization
Organization Name MMC FAMILY HEALTH CENTER AT 193RD ST
Practice Address 360 East 193rd Street
Mmc Family Health Center At 193rd St
Bronx
NY 10458-4710
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
1922292655 Mmc Family Health Center At 193rd St Clinic/Center Mmc Family Health Center At 193rd St, 360 East 193rd Street, Bronx, NY 10458-4710 2007-09-06

Office Location

Street Address 360 EAST 193RD STREET
MMC FAMILY HEALTH CENTER AT 193RD ST
City BRONX
State NY
Zip Code 10458-4710

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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 BRONX
Zip Code 10458

Improve Information

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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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