# NYCDOHMH BUR MATERN CONNECT FAC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** New York City Deparment of Health and Mental Hygienes Bureau of Matern
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679517775
- **Authorized official:** MR. MICHAEL JAMES SMOOK MPA (ADMINISTRATIVE MANAGER THIRD PARTY)
- **Authorized official phone:** (212) 442-8468

## Contact information

- **Practice address:** 2 LAFAYETTE STREET, BOX 34A 18TH FLOOR NYCDOHMH BUR MATERN CONNECT FAC, NEW YORK, NY 10007-1322
- **Practice address phone:** (212) 442-1740
- **Practice address fax:** (212) 442-1789
- **Mailing address:** 125 WORTH STREET, BOX 74 RM 901 NYCDOHMH DIVISION OF DISEASE CONTROL, 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 | 01214617026 | NY | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 08/22/2020