Organization · Type 2 NPI

MMC at Jackson Ave Family Residence

Primary Care Clinic/Center · Bronx, NY

NPI number 1326232091 Active

Practice location

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

Call (914) 377-4722 Map

Mailing address

100 Corporate Drive, Cmo
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 1326232091

MMC at Jackson Ave Family Residence's National Provider Identifier is 1326232091, 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.