| NPI | 1548260870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKY GATELL Chief Financial Officer 718-960-7629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 7000271R) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2023-12-04 |