Organization · Type 2 NPI

Nycdohmh Bur Matern Connect Fac

Community Health Clinic/Center · New York, NY

NPI number 1679517775 Active

Practice location

2 Lafayette Street, Box 34A 18th Floor Nycdohmh Bur Matern Connect Fac
New York, NY 10007-1322

Call (212) 442-1740 Map

Fax (212) 442-1789

Mailing address

125 Worth Street, Box 74 Rm 901 Nycdohmh Division Of Disease Control
New York, NY 10013-4006

Specialties and licenses

Taxonomy	Code	License
Community Health Clinic/Center Primary	261QC1500X	01214617026 (NY)

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NPI record

NPI: 1679517775
Entity type: Organization (Type 2)
Issued: Jun 16, 2006
Last updated: Aug 22, 2020
Status: Active

Other names

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New York City Deparment of Health and Mental Hygienes Bureau of Matern · doing business as

Authorized official

Mr. Michael James Smook, MPA
Administrative Manager Third Party
(212) 442-8468

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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 1679517775

Nycdohmh Bur Matern Connect Fac's National Provider Identifier is 1679517775, issued on Jun 16, 2006. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in New York, NY. The record was last updated on Aug 22, 2020.