| NPI | 1902033756 |
|---|---|
| Other Name | MMC AT BRONX REGIONAL HIGH SCHOOL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL G DOWLING Dir Of Prov. Services & Ntwk Contr 914-377-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2009-06-19 |