| NPI | 1922857267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP GUNRAJ Chief Financial Officer 917-709-7685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-05-17 |