| NPI | 1326493982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKY GATELL Chief Financial Officer 718-960-7629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 7000271R) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2022-09-23 |