Provider Demographics
NPI:1578071981
Name:MONTEFIORE NEW ROCHELLE
Entity Type:Organization
Organization Name:MONTEFIORE NEW ROCHELLE
Other - Org Name:MONTEFIORE AT 1214 PELHAM PARKWAY S
Other - Org Type:Other Name
Authorized Official - Title/Position:VP EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALFANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-365-3636
Mailing Address - Street 1:1214 PELHAM PKWY S
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1042
Mailing Address - Country:US
Mailing Address - Phone:718-824-2200
Mailing Address - Fax:
Practice Address - Street 1:1214 PELHAM PKWY S
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1042
Practice Address - Country:US
Practice Address - Phone:718-824-2200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-19
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty