Provider Demographics
NPI:1720219231
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:DIRECTOR PHARMACY OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALFIERI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:718-920-9452
Mailing Address - Street 1:600 E 233RD ST
Mailing Address - Street 2:PHARMACY DEPARTMENT
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-2604
Mailing Address - Country:US
Mailing Address - Phone:718-920-9631
Mailing Address - Fax:718-920-6832
Practice Address - Street 1:600 E 233RD ST
Practice Address - Street 2:PHARMACY DEPARTMENT
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-2604
Practice Address - Country:US
Practice Address - Phone:718-920-9631
Practice Address - Fax:718-920-6832
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 Licenses
StateLicense IDTaxonomies
NY028820282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00243554Medicaid