NPI | 1720520083 |
---|---|
Entity Type | Organization |
Authorized Contact | MITCHELL NETBURN President And CEO 212-620-0340 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 7002161R) |
Enumeration Date | 2016-11-17 |
Last Update Date | 2022-02-17 |