Organization
NYCDOHMH BUR MATERN CONNECT FAC
Active
Other names
New York City Deparment of Health and Mental Hygienes Bureau of Matern
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JAMES SMOOK MPA (ADMINISTRATIVE MANAGER THIRD PARTY)
(212) 442-8468
Entity
Organization
Contact information
Practice address
2 LAFAYETTE STREET, BOX 34A 18TH FLOOR NYCDOHMH BUR MATERN CONNECT FAC, NEW YORK, NY 10007-1322
(212) 442-1740
(212) 442-1789
Mailing address
125 WORTH STREET, BOX 74 RM 901 NYCDOHMH DIVISION OF DISEASE CONTROL, NEW YORK, NY 10013-4006
(212) 442-8468
(212) 442-8452
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
01214617026
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144617
—
NY
Enumeration date
06/16/2006
Last updated
08/22/2020
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