| NPI | 1023202793 |
|---|---|
| Other Name | MMC AT 3411 WAYNE AVEUE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL G DOWLING Director 914-377-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 7000006H) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2009-12-01 |