- Facility Name
- Montefiore Medical Center
- Provider Number
- Click link for provider #s
- Date approved
- 11/07/2010
- State
- NY
- Address 1
- 111 East 210th Street
- Address 2
- Bronx, NY 10467-2490
- Other Information
- Group #: 1063525152; ACS; Kelly Bottger - (718) 920-6417
