Organization · Type 2 NPI

MMC Medical Park at 1635 Poplar

Primary Care Clinic/Center · Bronx, NY

NPI number 1003000779 Active

Practice location

Mmc Medical Park At 1635 Poplar, 1635 Poplar Street
Bronx, NY 10461-2659

Call (914) 377-4722 Map

Mailing address

Cmo, 100 Corporate Drive
Yonkers, NY 10701

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X7000006H (NY)

Primary Care Clinic/Center: Definition to come...

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About NPI 1003000779

MMC Medical Park at 1635 Poplar's National Provider Identifier is 1003000779, issued on Sep 5, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Bronx, NY. The record was last updated on Sep 5, 2007.