NPI | 1659822963 |
---|---|
Doing Business As | ELEPHANT |
Entity Type | Organization |
Authorized Contact | ALAN J. WENGROFSKY VP Of Finance And CFO 212-545-2481 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 7002119R) |
Enumeration Date | 2016-10-21 |
Last Update Date | 2016-10-21 |