institution
Nycdohmh Motthyn Connect Cmcm
Community Health Clinic/Center in Bronx, New York
NPI 1104872506

Nycdohmh Motthyn Connect Cmcm is a Community Health Clinic/Center based in New York, NY and is specialized in Community Health. Nycdohmh Motthyn Connect Cmcm practices in Bronx, NY. The NPI Number for Nycdohmh Motthyn Connect Cmcm is 1104872506 and holds a License No. 01234413026 (New York).

The current practice location address for Nycdohmh Motthyn Connect Cmcm is 1309 Fulton Avenue, Bronx, NY and can be reached out via phone at 718-367-2450 and via fax at 718-367-5112.

Location: 1309 Fulton Avenue, Bronx, NY, 10004-4006
institution
Provider Profile Details
NPI Number
1104872506
Provider Name
Nycdohmh Motthyn Connect Cmcm
Credential
Provider Entity Type
Organization
Address
1309 Fulton Avenue, Bronx, NY, 10004-4006
Phone Number
718-367-2450
Fax Number
718-367-5112
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01234413 05 NY
institution
Provider Business Practice Location Address Details
Address
1309 Fulton Avenue
City
State
Zip
10456-2403
Phone Number
718-367-2450
Fax Number
718-367-5112
person
Provider Business Mailing Address Details
Address
1309 Fulton Avenue
City
State
Zip
10456-2403
Phone Number
718-367-2450
Fax Number
718-367-5112
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
License No.
01234413026 (New York)
Definition
Definition to come...
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