| NPI | 1215403050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID NEIMIROFF President, CEO 516-546-4198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2018-10-19 |