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

Nycdohmh Motthyn Connect Cmcm

Organization Community Health Clinic/Center · NPI 1104872506

Nycdohmh Motthyn Connect Cmcm is a Community Health Clinic/Center in Bronx, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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Practice location Address checks out

1309 Fulton Avenue Nycdohmh Mott Haven Connect Cmcm
Bronx, NY 10456-2403
Phone: (718) 367-2450
Fax: (718) 367-5112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Clinic/Center (primary) Taxonomy 261QC1500X · Licence 01234413026 (NY)

Record details

NPI number1104872506
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Smook — Administrative Mgr 3d Party Revenue · (212) 442-5468
Other names Nyc Dept Of Health & Mental Hygiene Mott Haven Connect Cmcm
NPI enumeratedMay 26, 2006
Last updated in NPPESAugust 22, 2020
Mailing address125 Worth Street, Nycdohmh Div Of Disease Control Rm 901 Box 22, New York, NY 10004-4006

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