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MMC AT ICAHN HOUSE FAMILY SHELTER
NPI 1043405368
Clinic/Center - Multi-Specialty in Bronx, NY

Active since September 10, 2007
MMC AT ICAHN HOUSE FAMILY SHELTER, 1520 BROOK AVENUE, BRONX, NY 10457(914) 377-4722 Get Directions Write a Review

NPPES record last updated: September 10, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Multi-Specialty

About MMC AT ICAHN HOUSE FAMILY SHELTER

This page provides the complete NPI Profile along with additional information for Mmc At Icahn House Family Shelter, a provider established in Bronx, New York operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1043405368 assigned on September 2007. The practitioner's primary taxonomy code is 261QM1300X with license number 7000006H (NY). The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Michael G Dowling (Director)

NPI
1043405368 Verify this NPI
Provider Name
MMC AT ICAHN HOUSE FAMILY SHELTER
Entity Type
Organization
Location Address
MMC AT ICAHN HOUSE FAMILY SHELTER 1520 BROOK AVENUE BRONX, NY 10457
Location Phone
(914) 377-4722
Mailing Address
CMO 100 CORPORATE DRIVE YONKERS, NY 10701
Mailing Phone
(914) 377-4722
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-10-2007
Last Update Date
09-10-2007
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities
License No.
7000006H
License State
NY

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL G DOWLING

Authorized Official Title
DIRECTOR
Authorized Official Phone
(914) 377-4668

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Frequently Asked Questions

What is MMC AT ICAHN HOUSE FAMILY SHELTER's NPI number?

The NPI number assigned to this healthcare provider is 1043405368, enumerated as an "organization" on September 10, 2007.

Where is the provider located?

The provider is located at MMC AT ICAHN HOUSE FAMILY SHELTER 1520 BROOK AVENUE BRONX, NY 10457 and the phone number is (914) 377-4722.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.