| NPI | 1639459142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN J WENGROFSKY CFO 212-545-2481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 7002119R) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2025-09-12 |