| NPI | 1952542771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN J. WENGROFSKY CFO/Vice President Of Finance 212-545-2481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2018-07-23 |