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 11 years ago.

NPI

1003001397

Provider NameMMC AT AECOM
Provider Location Address1300 MORRIS PARK AVENUE MMC AT AECOM BRONX, NY 10461
Provider Mailing Address100 CORPORATE DRIVE CMO YONKERS, NY 10701
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date09-10-2007
Last Update Date09-10-2007

Primary Taxonomy

Taxonomy Code261QM1300X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMulti-Specialty
License No.7000006H
License StateNY

Business Address

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

Get Directions

Mailing Address

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

Authorized Official

Authorized Official Name MICHAEL G DOWLING
Authorized Official TitleDIRECTOR
Authorized Official Phone(914) 377-4668

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

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary 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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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