| NPI | 1750638961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE HASTICK-MOTES Chief Executive Officer 718-945-7150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 7003234R) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2025-11-17 |