Organization · Type 2 NPI

MMC Medical Park at 1625 Poplar

Primary Care Clinic/Center · Bronx, NY

NPI number 1194919860 Active

Practice location

Mmc Medical Park At 1625 Poplar, 1625 Poplar Street
Bronx, NY 10461-2653

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)

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About NPI 1194919860

MMC Medical Park at 1625 Poplar's National Provider Identifier is 1194919860, 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.