Mcc-Ny

NPI #1275808669 in Nyc, New York

Provider Information

NPI Number
1275808669
Entity Type
Organization
Organization Name
Mcc-Ny
Subpart
Yes (part of a larger organization)
Parent Organization
BOP
Primary Specialty
Clinic/Center - Prison Health
Enumeration Date
Mar 19, 2012
Last Updated
Mar 19, 2012

Practice Location

Address
150 PARK ROW
City
Nyc
ZIP Code
10007
Phone
(646) 836-6428

Authorized Official

Name
ANTHONY BUSSANICH
Title
MD
Phone
(646) 836-6428

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Prison HealthPrison Health

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