MMC AT THEODORE ROOSEVELT HIGH SCHOOL
NPI 1417141193
Clinic/Center - Primary Care in Bronx, NY

Q: What is Mmc At Theodore Roosevelt High School's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since September 05, 2007

MMC AT THEODORE ROOSEVELT HIGH SCHOOL, 500 EAST FORDHAM ROAD, BRONX, NY 10458(914) 377-4722 Get Directions Write a Review

NPPES record last updated: September 5, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mmc At Theodore Roosevelt High School NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MMC AT THEODORE ROOSEVELT HIGH SCHOOL (NPI 1417141193) is a healthcare organization registered as a primary care 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

NPI1417141193

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameMMC AT THEODORE ROOSEVELT HIGH SCHOOL

Location AddressMMC AT THEODORE ROOSEVELT HIGH SCHOOL, 500 EAST FORDHAM ROADBronx, NY 10458-5048

Mailing AddressCmo, 100 Corporate DriveYonkers, NY 10701 · (914) 377-4722

Phone(914) 377-4722

Organization SubpartYesParent: Montefiore Medical Center

Authorized OfficialMichael G DowlingDirector · (914) 377-4668

Enumeration DateSeptember 5, 2007

✔ NPI 1417141193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in NY · 7000006H

MMC AT THEODORE ROOSEVELT HIGH SCHOOL, Bronx, NY 10458

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MMC AT THEODORE ROOSEVELT HIGH SCHOOL

Clinic/Center (Multi-Specialty)

MMC AT THEODORE ROOSEVELT HIGH SCHOOL, 500 EAST FORDHAM ROAD
BRONX, NY 10458

Bronx County (914) 377-4722

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 Theodore Roosevelt High School's NPI number?

The NPI number for Mmc At Theodore Roosevelt High School is 1417141193. It was assigned to this organization in the NPPES registry on September 5, 2007.

Where is Mmc At Theodore Roosevelt High School located?

Mmc At Theodore Roosevelt High School is located at Mmc At Theodore Roosevelt High School 500 East Fordham Road, Bronx, NY 10458. The listed phone number is (914) 377-4722.

What is Mmc At Theodore Roosevelt High School's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Mmc At Theodore Roosevelt High School was last updated on September 5, 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.