| NPI | 1427371012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HARTNETT Chief Financial Officer 718-960-9465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2018-03-28 |