| NPI | 1427098227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRYAM NAKASH Credentialing Secretary 718-686-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2018-02-22 |