Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nyccc

Organization Preferred Provider Organization · NPI 1245612803

Nyccc is a Preferred Provider Organization in Bronx, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

1000 Waters Pl
Bronx, NY 10461-2701
Phone: (718) 239-3600
Fax: (718) 239-3669
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence 2084P0804X (NY)

Record details

NPI number1245612803
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brenda Grier — Administrative Secretary 1 · (718) 239-3745
NPI enumeratedJune 19, 2015
Last updated in NPPESJune 19, 2015
Mailing address1000 Waters Place, Bronx, NY 10461

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