| NPI | 1477040566 |
|---|---|
| Other Name | MMC AT MS113 |
| Entity Type | Organization |
| Authorized Contact | MICHAEL G DOWLING Chief Administrative Officer 914-377-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center Student Health |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |