| NPI | 1548592348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA MAZZOTTA Chief Finance Officer 914-502-1470 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 5905200R) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |