NPI | 1982101150 |
---|---|
Other Name | WOMENS HEALTH PAVILION |
Entity Type | Organization |
Authorized Contact | PAMELLA APPIA Manager, Provider Enrollment & Mana 718-483-1270 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 7000236R) |
Enumeration Date | 2018-04-12 |
Last Update Date | 2018-04-12 |