Organization · Type 2 NPI

MMC University Avenue Family Residence

Primary Care Clinic/Center · Bronx, NY

NPI number 1902090665 Active

Practice location

1041 University Avenue, Mmc University Avenue Family Residence
Bronx, NY 10452-4204

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 1902090665

MMC University Avenue Family Residence's National Provider Identifier is 1902090665, 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.