NPI 1003000779

Mmc Medical Park at 1635 Poplar

Organisation Primary Care Clinic/Center Bronx, NY

Practice location

Address: Mmc Medical Park at 1635 Poplar 1635 Poplar Street, Bronx, NY 10461-2659
Phone: (914) 377-4722
Mailing address: Cmo 100 Corporate Drive, Yonkers, NY 10701

Authorised official

Name: Michael G Dowling
Title: Director
Phone: (914) 377-4668

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence 7000006H (NY)

Other Clinic/Center providers in New York →

Registry record

NPI: 1003000779
Entity type: Organization
NPI issued: 5 Sep 2007
Record last updated: 5 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.