| NPI | 1467857433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PALOMA HERNANDEZ President And CEO 718-589-2440 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2015-08-12 |