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MMC AT PS 105
NPI 1790979466
Clinic/Center - Primary Care in Bronx, NY

Active since September 05, 2007
725 BRADY AVENUE, MMC AT PS 105, BRONX, NY 10462(914) 377-4722 Get Directions Write a Review

NPPES record last updated: September 5, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mmc At Ps 105 NPPES

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

MMC AT PS 105 (NPI 1790979466) 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

NPI1790979466
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMMC AT PS 105
Location Address725 BRADY AVENUE, MMC AT PS 105Bronx, NY 10462-2701
Mailing Address100 Corporate Drive, CmoYonkers, 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 1790979466 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
725 BRADY AVENUE, Bronx, NY 10462
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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 PS 105
Clinic/Center (Multi-Specialty)
725 BRADY AVENUE, MMC AT PS 105
BRONX, NY 10462
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 Ps 105's NPI number?

The NPI number for Mmc At Ps 105 is 1790979466. It was assigned to this organization in the NPPES registry on September 5, 2007.

Where is Mmc At Ps 105 located?

Mmc At Ps 105 is located at 725 Brady Avenue Mmc At Ps 105, Bronx, NY 10462. The listed phone number is (914) 377-4722.

What is Mmc At Ps 105'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 Ps 105 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.