1134892847 NPI number — MONTEFIORE EINSTEIN ADVANCED CARE

Table of content: (NPI 1134892847)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134892847 NPI number — MONTEFIORE EINSTEIN ADVANCED CARE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MONTEFIORE EINSTEIN ADVANCED CARE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134892847
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/16/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CMO PROVIDER INFORMATION
Provider Second Line Business Mailing Address:
100 CORPORATE DRIVE, SUITE 100
Provider Business Mailing Address City Name:
YONKERS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10701
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-377-4722
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
555 TAXTER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELMSFORD
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10523-2336
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-418-6200
Provider Business Practice Location Address Fax Number:
914-909-1469
Provider Enumeration Date:
07/28/2021

Additional Information

Authorized Official

Authorized Official Last Name:
DOWLING
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
G
Authorized Official Title or Position:
VP
Authorized Official Telephone Number:
914-377-4688

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085B0100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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