| NPI | 1952893091 |
|---|---|
| Doing Business As | JERICHO ROAD COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JACKIE ENDRESS Credentialing Specialist 716-348-3000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 1401237R) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2021-08-23 |