| NPI | 1356675961 |
|---|---|
| Other Name | FT. WADSWORTH FAMILY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN BURKHART VP & Medical Director 212-356-4903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 7002037H) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |