| NPI | 1912211012 |
|---|---|
| Former Legal Business Name | LONG ISLAND FQHC, INC. |
| Entity Type | Organization |
| Authorized Contact | DAVID NEMIROFF Executive Director 516-546-4198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 2908201R) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2024-02-14 |