Provider Demographics
NPI:1609007160
Name:MONTEFIORE MEDICAL CENTER-NORTH DIVISION
Entity Type:Organization
Organization Name:MONTEFIORE MEDICAL CENTER-NORTH DIVISION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RASHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MITTAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-822-8987
Mailing Address - Street 1:549 E 234TH ST
Mailing Address - Street 2:#5B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10470-2454
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:549 E 234TH ST
Practice Address - Street 2:#5B
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10470-2454
Practice Address - Country:US
Practice Address - Phone:347-822-8987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-31
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital