NPI | 1336113398 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILIP ONORATO CEO 718-596-9800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 7001250R) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2023-09-22 |