| Organization Name: | MMC AT AECOM |
| NPI Number: | 1003001397 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL G DOWLING (DIRECTOR) |
| Mailing Address: | 1300 Morris Park Avenue Mmc At Aecom Bronx |
| State: | NY US |
| Postal Code: | 104611900 |
| Phone Number: | 9143774722 |
| Fax Number: | |
| NPI Enumeration Date: | 09/10/2007 |
| NPI Last Update Date: | 09/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | 7000006H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |