| NPI | 1033581608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX MOVSHOVICH Executive Director 917-916-2371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2023-11-28 |