Organization · Type 2 NPI

Nycdohmh Bed Stuy Connect CMCM

Community Health Clinic/Center · Brooklyn, NY

NPI number 1316993306 Active

Practice location

20 New York Avenue, Nycdohmh Bed Stuy Connect Cmcm
Brooklyn, NY 11216-2629

Call (718) 398-5005 Map

Fax (718) 398-5033

Mailing address

125 Worth Street, Nycdohmh Div Of Disease Control Rm 901 Box 22
New York, NY 10013-4006

Specialties and licenses

Taxonomy	Code	License
Community Health Clinic/Center Primary	261QC1500X	01234404026 (NY)

Community Health Clinic/Center: Definition to come...

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NPI record

NPI: 1316993306
Entity type: Organization (Type 2)
Issued: May 25, 2006
Last updated: Aug 22, 2020
Status: Active

Other names

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Nyc Dept of Health & Mental Hygiene Bed Stuy Connect CMCM · other name

Authorized official

Mr. Michael James Smook, MPA
Administrative MGR 3d Party Revenue
(212) 442-8468

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1316993306

Nycdohmh Bed Stuy Connect CMCM's National Provider Identifier is 1316993306, issued on May 25, 2006. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 22, 2020.