| NPI | 1639246358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HOI KIM CEO 718-815-6560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 7004209R) |
| 207R00000X Internal Medicine (Licence: NY 7004209R) | |
| 207V00000X Obstetrics & Gynecology (Licence: NY 7004209R) | |
| 208000000X Pediatrics (Licence: NY 7004209R) | |
| 213E00000X Podiatrist (Licence: NY 7004209R) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2023-04-07 |