| NPI | 1841099710 |
|---|---|
| Other Name | MMC PS/MS 004 |
| Entity Type | Organization |
| Authorized Contact | JOHN M PREOLO Senior Director, Credentialing 914-608-5063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-03-12 |