| NPI | 1063858116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM K. LIPTON VP Info/Practice Mgmt Systems 914-384-2375 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2022-03-14 |