OrganizationActive
Nycdohmh Motthyn Connect Cmcm
NPI 1104872506 · Community Health Clinic/Center · Bronx, NY
Provider details
- NPI number
- 1104872506
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Michael Smook, Administrative Mgr 3d Party Revenue
- License
- 01234413026 (NY)
Practice location
1309 Fulton Avenue
Nycdohmh Mott Haven Connect Cmcm
Bronx, NY 10456-2403
Phone: (718) 367-2450
Fax: (718) 367-5112
Mailing address
125 Worth Street
New York, NY 10004-4006
Registry dates
- Enumerated
- 2006-05-26
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.