MMC WILLIAMSBRIDGE PRACTICE NPI 1033304332

Clinic/Center (Multi-Specialty) in Bronx, NY

NPI 1033304332 Organization Clinic/Center Multi-Specialty

About MMC WILLIAMSBRIDGE PRACTICE

Mmc Williamsbridge Practice is a provider established in Bronx, New York specializing in clinic/center (multi-specialty) . The NPI number of Mmc Williamsbridge Practice is 1033304332 and was assigned on September 2007. The practitioner's primary taxonomy code is 261QM1300X with license number 7000006H (NY). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Michael G Dowling (Director)

NPI

1033304332

Provider NameMMC WILLIAMSBRIDGE PRACTICE
Provider Location Address3011 BOSTON ROAD MMC WILLIAMSBRIDGE PRACTICE BRONX, NY 10469
Provider Mailing Address100 CORPORATE DRIVE CMO YONKERS, NY 10701
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date09-10-2007
Last Update Date06-19-2015


Primary Taxonomy

Taxonomy Code261QM1300X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMulti-Specialty
License No.7000006H
License StateNY

Business Address

MMC WILLIAMSBRIDGE PRACTICE
3011 BOSTON ROAD
MMC WILLIAMSBRIDGE PRACTICE
BRONX, NY
ZIP 10469
Phone: (914) 377-4722

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Mailing Address

MMC WILLIAMSBRIDGE PRACTICE
100 CORPORATE DRIVE
CMO
YONKERS, NY
ZIP 10701
Phone: (914) 377-4722



Authorized Official

Authorized Official Name MICHAEL G DOWLING
Authorized Official TitleDIRECTOR
Authorized Official Phone(914) 377-4668

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
WLW981MEDICARE PIN (08)NY

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760676431MMC WILLIAMSBRIDGE PRACTICE
Organization
Clinic/Center (Primary Care)3011 BOSTON ROAD MMC WILLIAMSBRIDGE PRACTICE
BRONX, NY 10469
(718) 547-6111

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.