| Morris Avenue Health Center | |
|
Morris Avenue Health Center 528 Morris Avenue Bronx NY 10451 | |
| (718) 691-6464 | |
| (347) 823-1561 |
| Full Name | Morris Avenue Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | Morris Avenue Health Center, Bronx, New York |
| Authorized Official Name and Position | John Chue (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2123664459 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Morris Avenue Health Center 30 E 33rd St Fl 5 New York NY 10016-5337 Ph: (212) 366-4459 | Morris Avenue Health Center Morris Avenue Health Center 528 Morris Avenue Bronx NY 10451 Ph: (718) 691-6464 |
| NPI Number | 1811656515 |
|---|---|
| Provider Enumeration Date | 12/10/2021 |
| Last Update Date | 05/10/2024 |
| Medicare PECOS PAC ID | 9830240332 |
|---|---|
| Medicare Enrollment ID | O20220818002161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811656515 | NPI | - | NPPES |
| 03064422 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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