| NPI | 1699137257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTOS ANTHONY RIVERA CEO 212-227-8401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 7002208R) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |