| NPI | 1235324534 |
|---|---|
| Other Name | MMC DOSA PROGRAM AT 138TH ST |
| Entity Type | Organization |
| Authorized Contact | MICHAEL G DOWLING Director 914-377-4668 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 7000006H) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2009-11-30 |