# NYCDOHMH BED STUY CONNECT CMCM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** NYC Dept of Health & Mental Hygiene Bed Stuy Connect CMCM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316993306
- **Authorized official:** MR. MICHAEL JAMES SMOOK MPA (ADMINISTRATIVE MGR 3D PARTY REVENUE)
- **Authorized official phone:** (212) 442-8468

## Contact information

- **Practice address:** 20 NEW YORK AVENUE, NYCDOHMH BED STUY CONNECT CMCM, BROOKLYN, NY 11216-2629
- **Practice address phone:** (718) 398-5005
- **Practice address fax:** (718) 398-5033
- **Mailing address:** 125 WORTH STREET, NYCDOHMH DIV OF DISEASE CONTROL RM 901 BOX 22, NEW YORK, NY 10013-4006
- **Mailing address phone:** (212) 442-8468
- **Mailing address fax:** (212) 442-8452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 01234404026 | NY | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 08/22/2020