| NPI | 1578249744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY B FLORESTAL Owner 718-308-5628 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 174200000X Meals |
| 251B00000X Case Management | |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261Q00000X Clinic/Center | |
| 261QA0005X Clinic/Center Ambulatory Family Planning Facility | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 261QA0900X Clinic/Center Amputee | |
| 261QC1500X Clinic/Center Community Health | |
| 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment | |
| 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2023-06-23 |