MMC AT AECOM NPI 1003001397

Clinic/Center (Multi-Specialty) in Bronx, NY

About MMC AT AECOM

Mmc At Aecom is a provider in Bronx, NY. The NPI number assigned to this provider is 1003001397. The practitioner's primary taxonomy code is Clinic/Center (261QM1300X). The provider is registered as an organization and their NPI record was last updated 10 years ago.

NPI1003001397 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMMC AT AECOM
Provider Location Address1300 MORRIS PARK AVENUE MMC AT AECOM BRONX, NY 10461 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address100 CORPORATE DRIVE CMO YONKERS, NY 10701 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?Yes Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-10-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date09-10-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MMC AT AECOM
1300 MORRIS PARK AVENUE
MMC AT AECOM
BRONX, NY
ZIP 10461
Phone: (914) 377-4722
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Mailing Address

MMC AT AECOM
100 CORPORATE DRIVE
CMO
YONKERS, NY
ZIP 10701
Phone: (914) 377-4722

Primary Taxonomy

Taxonomy Code261QM1300X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMulti-Specialty
License No.7000006H
License StateNY

Authorized Official

Authorized Official Name MICHAEL G DOWLING Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleDIRECTOR
Authorized Official Phone(914) 377-4668

Map Location


MMC AT AECOM address is 1300 MORRIS PARK AVENUE MMC AT AECOM BRONX, NY 10461

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083862965DR. MATTHEW WAINWRIGHT GROVER M.D.
Individual
Psychiatry & Neurology (Psychiatry)1300 MORRIS PARK AVENUE BELFER ROOM 403
BRONX, NY 10461
(718) 430-3157
1407986797MRS. MAXINE SUSAN EPSTEIN RPA-C
Individual
Physician Assistant1300 MORRIS PARK AVENUE BELFOR 501
BRONX, NY 10461
(718) 430-3204
1669666327MMC AT AECOM
Organization
Clinic/Center (Primary Care)1300 MORRIS PARK AVENUE MMC AT AECOM
BRONX, NY 10461
(914) 377-4722