| Peter Jay Sharp Health Center | |
|
89-111 Porter Avenue Brooklyn NY 11237-1417 | |
| (718) 417-2535 | |
| Not Available |
| Full Name | Peter Jay Sharp Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 89-111 Porter Avenue, Brooklyn, New York |
| Authorized Official Name and Position | John Chue (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2123664459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Jay Sharp Health Center 30 E 33rd St New York NY 10016-5337 Ph: (212) 366-4459 | Peter Jay Sharp Health Center 89-111 Porter Avenue Brooklyn NY 11237-1417 Ph: (718) 417-2535 |
| NPI Number | 1295071447 |
|---|---|
| Provider Enumeration Date | 12/17/2012 |
| Last Update Date | 05/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295071447 | NPI | - | NPPES |
| 03064422 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 70000279R (New York) | Primary |
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