| NPI | 1770847014 |
|---|---|
| Doing Business As | PENINSULA COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA BORBON Dir. Credentialing 718-589-2440 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2013-02-19 |