Provider Demographics
NPI:1093138885
Name:MONTEFIORE NEW ROCHELLE HOSPITAL
Entity Type:Organization
Organization Name:MONTEFIORE NEW ROCHELLE HOSPITAL
Other - Org Name:MONTEFIORE AT 4773 BOSTON POST ROAD
Other - Org Type:Other Name
Authorized Official - Title/Position:CAO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:9147-377-4668
Mailing Address - Street 1:4773 BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-3001
Mailing Address - Country:US
Mailing Address - Phone:914-738-3100
Mailing Address - Fax:
Practice Address - Street 1:4773 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NY
Practice Address - Zip Code:10803-3001
Practice Address - Country:US
Practice Address - Phone:914-738-3100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty