| NPI | 1164983482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FLYNN CHUE Chief Financial Officer 212-355-4459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2024-05-10 |