MMC AT AMERICAN RED CROSS FAMILY SHELTER ICAHN EAST


Address: 4 East 28th Street, Mmc At American Red Cross Family Shelter Icahn East, New York, NY 10016-7402
Phone: 9143774722

MMC AT AMERICAN RED CROSS FAMILY SHELTER ICAHN EAST (NPI# 1609060367) 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) 1609060367
Entity Type Organization
Organization Name MMC AT AMERICAN RED CROSS FAMILY SHELTER ICAHN EAST
Practice Address 4 East 28th Street
Mmc At American Red Cross Family Shelter Icahn East
New York
NY 10016-7402
Mailing Address 100 Corporate Drive
Cmo
Yonkers
NY 10701
Practice Telephone 9143774722
Mailing Telephone 9143774722
Enumeration Date 2007-09-05
Last Update Date 2007-09-05
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 261QP2300X Clinic/Center
Specialization: Primary Care
7000006H NY Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1912192212 Mmc At American Red Cross Family Shelter Icahn East Clinic/Center Mmc At American Red Cross Family Shelter Icahn East, 4 East 28th Street, New York, NY 10016-7402 2007-09-10

Office Location

Street Address 4 EAST 28TH STREET
MMC AT AMERICAN RED CROSS FAMILY SHELTER ICAHN EAST
City NEW YORK
State NY
Zip Code 10016-7402

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10016

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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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