NYCDOHMH MOTTHYN CONNECT CMCM
Ambulatory Health in Bronx, NY

License number
New York 01234413026
Category
Ambulatory Health
Type
Community Health
Owner
Name: MR. MICHAEL JAMES SMOOK MPA
Title: ADMINISTRATIVE MGR 3D PARTY REVENUE
Phone: (212) 442-5468
Address
Address 2
1309 Fulton Avenue Nycdohmh Mott Hvn, Bronx, NY 10456
125 Box 22 RM 901, New York, NY 10004
National Provider ID: 1104872506
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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