| NPI | 1023563863 |
|---|---|
| Other Name | MHHC AT MELROSE |
| Entity Type | Organization |
| Authorized Contact | PAMELLA APPIA Manager, Provider Enrollment & Man 718-483-1270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 7000236R) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2018-04-16 |