Care For The Homeless Briarwood Family Residence | |
8020 134th St Jamaica NY 11435-1002 | |
(718) 709-5071 | |
Not Available |
Full Name | Care For The Homeless Briarwood Family Residence |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 8020 134th St, Jamaica, New York |
Authorized Official Name and Position | Debbian Fletcher Blake (ASSISTANT EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2123664459 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Care For The Homeless Briarwood Family Residence 30 E 33rd St New York NY 10016-5337 Ph: (212) 366-4459 | Care For The Homeless Briarwood Family Residence 8020 134th St Jamaica NY 11435-1002 Ph: (718) 709-5071 |
NPI Number | 1225373723 |
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Provider Enumeration Date | 12/10/2012 |
Last Update Date | 04/15/2015 |
Identifier | Type | State | Issuer |
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1225373723 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 70000279R (New York) | Primary |
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