| Community Healthcare Network Inc | |
|
94- 98 Manhattan Avenue Brooklyn NY 11206-2505 | |
| (718) 388-0390 | |
| (713) 486-5741 |
| Full Name | Community Healthcare Network Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 94- 98 Manhattan Avenue, Brooklyn, New York |
| Authorized Official Name and Position | Alan J. Wengrofsky (CFO) |
| Authorized Official Contact | 2125452481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Healthcare Network Inc 60 Madison Ave Floor 5 New York NY 10010-1600 Ph: (212) 545-2439 | Community Healthcare Network Inc 94- 98 Manhattan Avenue Brooklyn NY 11206-2505 Ph: (718) 388-0390 |
| NPI Number | 1497822209 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 12/08/2017 |
| Medicare PECOS PAC ID | 7416855143 |
|---|---|
| Medicare Enrollment ID | O20040709000923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497822209 | NPI | - | NPPES |
| 00695941 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New York) | Primary |
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