Nycdohmh Motthyn Connect Cmcm

NPI #1104872506 in Bronx, New York

Provider Information

NPI Number
1104872506
Entity Type
Organization
Organization Name
Nycdohmh Motthyn Connect Cmcm
Primary Specialty
Clinic/Center - Community Health
Enumeration Date
May 26, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1309 FULTON AVENUE
Address 2
NYCDOHMH MOTT HAVEN CONNECT CMCM
City
Bronx
ZIP Code
10456-2403
Phone
(718) 367-2450

Authorized Official

Name
MR. MICHAEL JAMES SMOOK, MPA
Title
ADMINISTRATIVE MGR 3D PARTY REVENUE
Phone
(212) 442-5468

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Community HealthCommunity Health

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