| NPI | 1366630535 |
|---|---|
| Other Name | MMC AT 1510 WATERS PLACE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL G DOWLING Director 914-377-4668 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 7000006H) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2009-06-15 |