Is NYCOM in the city???
No, NYCOM is not in Manhattan, it is in Old Westbury, NY (Long Island). It is loated about 25 miles outside of Manhattan. The location is more suburban; however with that said, there are 8,008,278 people within the 5 boroughs of NYC according to the 2003 census. There are an additional 1,340,000 people in Nassau county, as well as 1,441,000 people in suffolk county.
I sure as hell wouldn't call the community rural. Also many of the rotations 3rd and 4th year are in Brooklyn, Bronx, Queens and Manhattan. So if it's the city you want, you'll have every opportunity.