Organization · Type 2 NPI
MMC Medical Park at 1500 Blondell
Primary Care Clinic/Center · Bronx, NY
NPI number
1467646133
Active
Practice location
Mmc Medical Park At 1500 Blondell, 1500 Blondell Avenue
Bronx, NY 10461-2643
Mailing address
Cmo, 100 Corporate Drive
Yonkers, NY 10701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 7000006H (NY) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1467646133
MMC Medical Park at 1500 Blondell's National Provider Identifier is 1467646133, 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.