NPI | 1477909349 |
---|---|
Doing Business As | RALPH AVENUE HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | PETER GRISAFI President/CEO 718-657-1100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 7003246R) |
Enumeration Date | 2016-05-10 |
Last Update Date | 2022-09-12 |