Organization · Type 2 NPI

MMC Johnson Avenue Practice

Multi-Specialty Clinic/Center · Bronx, NY

NPI number 1629263801 Active

Practice location

3510 Johnson Avenue, Mmc Johnson Avenue Practice
Bronx, NY 10463-1603

Call (914) 377-4722 Map

Mailing address

100 Corporate Drive, Cmo
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 1629263801

MMC Johnson Avenue Practice's National Provider Identifier is 1629263801, issued on Sep 11, 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 11, 2007.