Organization · Type 2 NPI

MMC at PS 105

Primary Care Clinic/Center · Bronx, NY

NPI number 1790979466 Active

Practice location

725 Brady Avenue, Mmc At Ps 105
Bronx, NY 10462-2701

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 1790979466

MMC at PS 105's National Provider Identifier is 1790979466, 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.