| NPI | 1932512605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN T GRANAHAN President/General Counsel 718-784-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 7002289R) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2022-11-10 |