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Organization

NYCDOHMH CN HARLEM CONNECT CMCM

Active
Other names
NYC Dept of Health & Mental Hygienes Central Harlem 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
2238 5TH AVENUE, NYCDOHMH CENTRAL HARLEM CONNECT CMCM, NEW YORK, NY 10037-2127
(212) 939-8403
(212) 939-8259
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
01234422026
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01234422
NY
Enumeration date
05/25/2006
Last updated
08/22/2020
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