| NPI | 1467708107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJORIE J. HILL CEO 718-945-7150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: NY 7003234R) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2016-02-04 |