| NPI | 1366015828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER A GRISAFI CEO 718-657-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-08-17 |