| NPI | 1013660547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN JONES Chief Financial Officer 212-620-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-02-17 |