| NPI | 1801052790 |
|---|---|
| Other Name | MMC MEDICAL VILLAGE AT 234TH STREET |
| Entity Type | Organization |
| Authorized Contact | MICHAEL G DOWLING Director Of Provider Services 914-377-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |