MMC AT STREETWORKS OUTREACH PROJECT


Address: Mmc At Streetworks Outreach Project, 545 Eighth Avenue, New York, NY 10018-4307
Phone: 9143774722

MMC AT STREETWORKS OUTREACH PROJECT (NPI# 1881889160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881889160
Entity Type Organization
Organization Name MMC AT STREETWORKS OUTREACH PROJECT
Practice Address Mmc At Streetworks Outreach Project
545 Eighth Avenue
New York
NY 10018-4307
Mailing Address Cmo
100 Corporate Drive
Yonkers
NY 10701
Practice Telephone 9143774722
Mailing Telephone 9143774722
Enumeration Date 2007-09-11
Last Update Date 2007-09-11
Authorized Official Name MICHAEL G DOWLING (DIRECTOR)
Authorized Official Telephone 9143774668
Is Organization Subpart Y
Parent Organization Name MONTEFIORE MEDICAL CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
7000006H NY Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1881888568 Mmc At Streetworks Outreach Project Clinic/Center Mmc At Streetworks Outreach Project, 545 Eighth Avenue, New York, NY 10018-4307 2007-09-05

Office Location

Street Address MMC AT STREETWORKS OUTREACH PROJECT
545 EIGHTH AVENUE
City NEW YORK
State NY
Zip Code 10018-4307

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881888568 Mmc At Streetworks Outreach Project Clinic/Center Mmc At Streetworks Outreach Project, 545 Eighth Avenue, New York, NY 10018-4307 2007-09-05

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10018

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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