| NPI | 1245886753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHUE Chief Financial Officer 212-366-4459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2024-05-10 |