| Beacon Christian Community Health Center Inc | |
|
2031 Forest Ave Ste 2 Staten Island NY 10303-1796 | |
| (718) 815-6560 | |
| Not Available |
| Full Name | Beacon Christian Community Health Center Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2031 Forest Ave Ste 2, Staten Island, New York |
| Authorized Official Name and Position | David Hoi Kim (CEO) |
| Authorized Official Contact | 7188156560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Christian Community Health Center Inc 2079 Forest Ave Staten Island NY 10303-1865 Ph: (718) 815-6560 | Beacon Christian Community Health Center Inc 2031 Forest Ave Ste 2 Staten Island NY 10303-1796 Ph: (718) 815-6560 |
| NPI Number | 1407637234 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 10/09/2023 |
| Certification Date | 10/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407637234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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