1326197286 NPI number — M BRIDGET DOWNES M.D.

Table of content: M BRIDGET DOWNES M.D. (NPI 1326197286)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326197286 NPI number — M BRIDGET DOWNES M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DOWNES
Provider First Name:
M BRIDGET
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
JORDAN
Provider Other First Name:
M BRIDGET
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1326197286
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/27/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20 HOSPITAL OVAL W
Provider Second Line Business Mailing Address:
CEDARWOOD HALL
Provider Business Mailing Address City Name:
VALHALLA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10595-1559
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-493-1924
Provider Business Mailing Address Fax Number:
914-493-1023

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 MELROSE AVE
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
GREENWICH
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06830-6257
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-869-8364
Provider Business Practice Location Address Fax Number:
203-869-3852
Provider Enumeration Date:
01/09/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0804X , with the licence number:  038255 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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