| NPI | 1497700736 |
|---|---|
| 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 | 2006-05-24 |
| Last Update Date | 2016-08-15 |