NPI | 1417261298 |
---|---|
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 | 2010-08-04 |
Last Update Date | 2023-11-22 |