| NPI | 1164994190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELLA APPIA Manager, Provider En 718-483-1270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |