| NPI | 1861631392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM LIPTON VP Info/Practice Mgmt Syst EMS 914-384-2375 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2022-03-13 |