NPI | 1619366978 |
---|---|
Doing Business As | WHITMAN INGERSOLL FARRAGUT HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | LAZETTA DUNCAN-MOORE CEO 718-596-9800 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 7001250R) |
Enumeration Date | 2015-01-09 |
Last Update Date | 2015-01-09 |