Provider Demographics
NPI:1679850440
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:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SAFYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-920-7744
Mailing Address - Street 1:PO BOX 4550
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10261-4550
Mailing Address - Country:US
Mailing Address - Phone:718-920-9973
Mailing Address - Fax:718-920-6834
Practice Address - Street 1:4401 BRONX BLVD
Practice Address - Street 2:SUITE 222
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10470-1407
Practice Address - Country:US
Practice Address - Phone:718-304-7084
Practice Address - Fax:718-304-7065
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MONTEFIORE MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY078549282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital