| NPI | 1619415288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER GRISAFI President/ CEO 718-657-1100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: NY 7003246R) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |