| NPI | 1922556919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE ROSENFELD CFO 718-260-4600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2018-04-25 |