| NPI | 1063480218 |
|---|---|
| Former Legal Business Name | EZRAS CHOILIM HEALTH CENTER, INC. |
| Entity Type | Organization |
| Authorized Contact | JOEL MITTELMAN Executive Director 845-782-3242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2024-08-15 |