Provider Demographics
NPI:1790108439
Name:MONTEFIORE NEW ROCHELLE HOSPITAL
Entity Type:Organization
Organization Name:MONTEFIORE NEW ROCHELLE HOSPITAL
Other - Org Name:MONTEFIORE AT 2157 TOMLINSON
Other - Org Type:Other Name
Authorized Official - Title/Position:CAO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:DOWLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-377-4668
Mailing Address - Street 1:2157 TOMLINSON AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1267
Mailing Address - Country:US
Mailing Address - Phone:718-794-2501
Mailing Address - Fax:
Practice Address - Street 1:2157 TOMLINSON AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1267
Practice Address - Country:US
Practice Address - Phone:718-794-2501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-31
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty