| NPI | 1952647430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN SANTOS-RAMOS Chief Program Officer 212-366-4459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: NY 70000279R) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2025-08-19 |