- Practice location
- 1309 Fulton Avenue, Nycdohmh Mott Haven Connect Cmcm, Bronx, NY 10456-2403
- Phone
- 718-367-2450
- Fax
- 718-367-5112
- Last updated
- August 22, 2020
Nycdohmh Motthyn Connect Cmcm is a healthcare organization based in Bronx, NY. Nycdohmh Motthyn Connect Cmcm practices in Bronx, NY. The NPI Number for Nycdohmh Motthyn Connect Cmcm is 1104872506 and holds a License No. 01234413026 (NY). The current practice location address for Nycdohmh Motthyn Connect Cmcm is 1309 Fulton Avenue, Nycdohmh Mott Haven Connect Cmcm, Bronx, NY 10456-2403 and can be reached out via phone at 718-367-2450 and via fax at 718-367-5112.
Provider Profile Details
- NPI Number
- 1104872506
- Provider Name
- Nycdohmh Motthyn Connect Cmcm
- Provider Entity Type
- Organization
- Address
- 1309 Fulton Avenue, Nycdohmh Mott Haven Connect Cmcm, Bronx, NY 10456-2403
- Phone Number
- 718-367-2450
- Fax Number
- 718-367-5112
- Primary Taxonomy
- Clinic/Center, Community Health · 261QC1500X
- Organization Subpart
- No
- Authorized Official
- Mr. Michael James Smook, MPA · Administrative Mgr 3D Party Revenue · 212-442-5468
- Other Names
- Nyc Dept Of Health & Mental Hygiene Mott Haven Connect Cmcm (Other Name)
- Provider Enumeration Date
- May 26, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1309 Fulton Avenue
Nycdohmh Mott Haven Connect Cmcm
Bronx, NY 10456-2403 - City
- Bronx
- State
- New York
- Zip
- 10456-2403
- Phone Number
- 718-367-2450
- Fax Number
- 718-367-5112
Provider Business Mailing Address Details
- Address
- 125 Worth Street
Nycdohmh Div Of Disease Control Rm 901 Box 22
New York, NY 10004-4006 - City
- New York
- State
- NY
- Zip
- 10004-4006
- Phone Number
- 212-442-8468
- Fax Number
- 212-442-8452
License Information
- License Number
- 01234413026
- License State
- NY
- Taxonomy
- Clinic/Center, Community Health · 261QC1500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Nycdohmh Motthyn Connect Cmcm?
The NPI number of Nycdohmh Motthyn Connect Cmcm is 1104872506. It was assigned on May 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Nycdohmh Motthyn Connect Cmcm?
Nycdohmh Motthyn Connect Cmcm is registered under the primary taxonomy Clinic/Center, Community Health (code 261QC1500X), licensed in NY under license number 01234413026.
Where does Nycdohmh Motthyn Connect Cmcm practice?
The practice location is 1309 Fulton Avenue, Nycdohmh Mott Haven Connect Cmcm, Bronx, NY 10456-2403. The office can be reached at 718-367-2450 (phone) or 718-367-5112 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104872506 directly on the NPPES registry website.