| NPI | 1770739179 |
|---|---|
| Other Name | MMC MS142/JOHN PHILLIP SOUSA |
| Entity Type | Organization |
| Authorized Contact | MICHAEL G DOWLING Director Of Provider Services 914-377-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |