| NPI | 1184791923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN J. WENGROFSKY CFO 212-545-2481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2017-12-07 |