| NPI | 1851480032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGUERITE LOUISE GEBHARDT President/CEO 718-657-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 7003246R) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |