NPI | 1336669670 |
---|---|
Former Legal Business Name | LONG ISLAND FQHC,INC. |
Entity Type | Organization |
Authorized Contact | DAVID NEMIROFF Executive Director 516-546-4198 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-06-27 |
Last Update Date | 2024-03-06 |