| NPI | 1609129402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL DOOLEY Executive Director 718-407-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: NY 000000) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2013-12-12 |