Organization
NYCDOHMH BED STUY CONNECT CMCM
Active
Other names
NYC Dept of Health & Mental Hygiene Bed Stuy Connect CMCM
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JAMES SMOOK MPA (ADMINISTRATIVE MGR 3D PARTY REVENUE)
(212) 442-8468
Entity
Organization
Contact information
Practice address
20 NEW YORK AVENUE, NYCDOHMH BED STUY CONNECT CMCM, BROOKLYN, NY 11216-2629
(718) 398-5005
(718) 398-5033
Mailing address
125 WORTH STREET, NYCDOHMH DIV OF DISEASE CONTROL RM 901 BOX 22, NEW YORK, NY 10013-4006
(212) 442-8468
(212) 442-8452
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
01234404026
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01234404
—
NY
Enumeration date
05/25/2006
Last updated
08/22/2020
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