MMC AT NELSON AVE FAMILY RESIDENCE
NPI 1104011436
Clinic/Center - Multi-Specialty in Bronx, NY
About Mmc At Nelson Ave Family Residence NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MMC AT NELSON AVE FAMILY RESIDENCE (NPI 1104011436) is a healthcare organization registered as a multi-specialty in Bronx, New York and active in the NPI registry since September 2007. The organization lists Michael G Dowling, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mmc At Nelson Ave Family Residence's NPI number?
The NPI number for Mmc At Nelson Ave Family Residence is 1104011436. It was assigned to this organization in the NPPES registry on September 10, 2007.
Where is Mmc At Nelson Ave Family Residence located?
Mmc At Nelson Ave Family Residence is located at Mmc At Nelson Ave Family Residence 1605 Nelson Avenue, Bronx, NY 10453. The listed phone number is (914) 377-4722.
What is Mmc At Nelson Ave Family Residence's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
When was this NPI record last updated?
The NPPES record for Mmc At Nelson Ave Family Residence was last updated on September 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mmc At Nelson Ave Family Residence · NPI 1104011436
Multi-Specialty organization in Bronx, New York. Organization record, active in the CMS NPPES registry since September 10, 2007.
## Identity
- **NPI:** 1104011436 (Entity type: Organization)
- **Enumerated:** September 10, 2007
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** Yes (part of Montefiore Medical Center)
- **Authorized official:** Michael Dowling, DIRECTOR
## Practice location
- **Address:** MMC AT NELSON AVE FAMILY RESIDENCE, 1605 NELSON AVENUE, Bronx, NY 10453-7068
- **Phone:** (914) 377-4722
## Record status
- **NPPES last updated:** September 10, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1104011436) · Data from the CMS NPPES public registry.