| NPI | 1508222522 |
|---|---|
| Doing Business As | OHIO |
| Entity Type | Organization |
| Authorized Contact | ALAN J. WENGROFSKY Vice President Of Finance And CFO 212-545-2481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 7002119R) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-05-11 |