| NPI | 1598299356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ECKHOFF Director 516-622-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 2950212R) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2025-12-23 |