| NPI | 1407229651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAUSHAL CHALLA Chief Executive Officer 212-379-6988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 7002107R) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2023-11-22 |