| NPI | 1326702317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA PEGUERO Director Of Patient Services 718-260-4600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2021-10-26 |