| NPI | 1558598300 |
|---|---|
| Other Name | MMC AT 3329 BAINBRIDGE AVENUE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL G DOWLING Dir. Provider Services & Ntwk. Cont 914-377-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2009-06-19 |