| NPI | 1336650688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER GRISAFI President / CEO 718-657-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 7003246R) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2022-08-30 |