Organization · Type 2 NPI

Nycdohmh CN Harlem Connect CMCM

Community Health Clinic/Center · New York, NY

NPI number 1740236371 Active

Practice location

2238 5th Avenue, Nycdohmh Central Harlem Connect Cmcm
New York, NY 10037-2127

Call (212) 939-8403 Map

Fax (212) 939-8259

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	01234422026 (NY)

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

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NPI record

NPI: 1740236371
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 Hygienes Central Harlem Connect CMCM · other name

Authorized official

Mr. Michael James Smook, MPA
Administrative MGR 3d Party Revenue
(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 1740236371

Nycdohmh CN Harlem Connect CMCM's National Provider Identifier is 1740236371, issued on May 25, 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.