OrganizationActive
Mcc-Ny
NPI 1275808669 · Prison Health Clinic/Center · Nyc, NY
Provider details
- NPI number
- 1275808669
- Entity type
- Organization
- Primary specialty
- Prison Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Bop
- Organization subpart
- Yes
- Authorized official
- Anthony Bussanich, MD(646) 836-6428
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
150 Park Row
Nyc, NY 10007
Phone: (646) 836-6428
Approximate (ZIP-level) locationGet directions
Mailing address
203 N.16 Street
Bloomfield, NJ 07003
Registry dates
- Enumerated
- 2012-03-19
- Last updated
- 2012-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.