| NPI | 1700372687 |
|---|---|
| Other Name | MMC AT MS174 |
| Entity Type | Organization |
| Authorized Contact | MICHAEL G DOWLING CAO 914-377-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |