Organization · Type 2 NPI
MMC Medical Park at 1575 Blondell
Multi-Specialty Clinic/Center · Bronx, NY
NPI number
1649465972
Active
Practice location
1575 Blondell Avenue, Mmc Medical Park At 1575 Blondell
Bronx, NY 10461-2660
Mailing address
100 Corporate Drive, Cmo
Yonkers, NY 10701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | 7000006H (NY) |
Multi-Specialty Clinic/Center: Definition to come...
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About NPI 1649465972
MMC Medical Park at 1575 Blondell's National Provider Identifier is 1649465972, 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.