| Citadel Health Center | |
|
9023 161st St Jamaica NY 11432-6107 | |
| (718) 709-5054 | |
| (212) 366-1773 |
| Full Name | Citadel Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 9023 161st St, Jamaica, 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 |
|---|---|
| Citadel Health Center 30 E 33rd St New York NY 10016-5337 Ph: (212) 366-4459 | Citadel Health Center 9023 161st St Jamaica NY 11432-6107 Ph: (718) 709-5054 |
| NPI Number | 1013253327 |
|---|---|
| Provider Enumeration Date | 12/14/2012 |
| Last Update Date | 05/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013253327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 70000279R (New York) | Primary |
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