| Care For The Homeless Bushwick Family Residence | |
|
1675 Broadway Brooklyn NY 11207-1495 | |
| (347) 294-2393 | |
| (212) 366-1773 |
| Full Name | Care For The Homeless Bushwick Family Residence |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1675 Broadway, Brooklyn, New York |
| Authorized Official Name and Position | Regina Flynn Olasin (CMO) |
| Authorized Official Contact | 2123554459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Care For The Homeless Bushwick Family Residence 30 E 33rd St New York NY 10016-5337 Ph: (212) 366-4459 | Care For The Homeless Bushwick Family Residence 1675 Broadway Brooklyn NY 11207-1495 Ph: (347) 294-2393 |
| NPI Number | 1114263357 |
|---|---|
| Provider Enumeration Date | 12/17/2012 |
| Last Update Date | 12/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114263357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 70000279R (New York) | Primary |
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