| NPI | 1164776159 |
|---|---|
| Other Name | MMC VIA VERDE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL G DOWLING Chief Administrative Officer 914-377-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |