Organization · Type 2 NPI

MMC at Jackson Ave Family Residence

Multi-Specialty Clinic/Center · Bronx, NY

NPI number 1285829507 Active

Practice location

Mmc At Jackson Ave Family Residence, 691 East 138th Street
Bronx, NY 10454-3307

Call (914) 377-4722 Map

Mailing address

Cmo, 100 Corporate Drive
Yonkers, NY 10701

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300X7000006H (NY)

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1285829507

MMC at Jackson Ave Family Residence's National Provider Identifier is 1285829507, issued on Sep 10, 2007. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Bronx, NY. The record was last updated on Sep 10, 2007.