| NPI | 1285055665 |
|---|---|
| Doing Business As | X 158 |
| Entity Type | Organization |
| Authorized Contact | PALOMA HERNANDEZ President And CEO 718-589-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 02994952) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2014-01-02 |