| NPI | 1740672732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEDALYA BLUMENFRUCHT CFO 718-246-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2020-10-19 |