Nyc Dept Of Health & Mental Hygiene Bed Stuy Connect Cmcm | |
20 New York Avenue Nycdohmh Bed Stuy Connect Cmcm Brooklyn NY 11216-2629 | |
(718) 398-5005 | |
(718) 398-5033 |
Full Name | Nyc Dept Of Health & Mental Hygiene Bed Stuy Connect Cmcm |
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Speciality | Clinic/center - Community Health |
Location | 20 New York Avenue, Brooklyn, New York |
Authorized Official Name and Position | Michael James Smook (ADMINISTRATIVE MGR 3D PARTY REVENUE) |
Authorized Official Contact | 2124428468 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nyc Dept Of Health & Mental Hygiene Bed Stuy Connect Cmcm 125 Worth Street Nycdohmh Div Of Disease Control Rm 901 Box 22 New York NY 10013-4006 Ph: (212) 442-8468 | Nyc Dept Of Health & Mental Hygiene Bed Stuy Connect Cmcm 20 New York Avenue Nycdohmh Bed Stuy Connect Cmcm Brooklyn NY 11216-2629 Ph: (718) 398-5005 |
NPI Number | 1316993306 |
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Provider Enumeration Date | 05/25/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316993306 | NPI | - | NPPES |
01234404 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | 01234404026 (New York) | Primary |
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