| Community Health Initiatives, Inc. | |
|
1419 Mermaid Ave Brooklyn NY 11224-2615 | |
| (718) 210-3110 | |
| (718) 333-0865 |
| Full Name | Community Health Initiatives, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1419 Mermaid Ave, Brooklyn, New York |
| Authorized Official Name and Position | Alex Movshovich (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9179162371 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Initiatives, Inc. 2882 W 15th St Lower Level Brooklyn NY 11224-2770 Ph: (718) 210-3110 | Community Health Initiatives, Inc. 1419 Mermaid Ave Brooklyn NY 11224-2615 Ph: (718) 210-3110 |
| NPI Number | 1033581608 |
|---|---|
| Provider Enumeration Date | 10/22/2015 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 6709185408 |
|---|---|
| Medicare Enrollment ID | O20160502001647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033581608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New York) | Primary |
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