| NPI | 1972944080 |
|---|---|
| Doing Business As | JERICHO ROAD COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JACKIE ENDRESS Credentialing Specialist 716-348-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251B00000X Case Management |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2021-08-23 |