| NPI | 1245467455 |
|---|---|
| Other Name | MMC AT 150 EAST 210TH STREET |
| Entity Type | Organization |
| Authorized Contact | MICHAEL DOWLING Dir Of Provider Service & Netwk Con 914-377-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2009-06-15 |