| Ezras Choilim Health Center, Inc. | |
|
49 Forest Rd Fl 3 Monroe NY 10950-2923 | |
| (845) 782-3242 | |
| Not Available |
| Full Name | Ezras Choilim Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 49 Forest Rd Fl 3, Monroe, New York |
| Authorized Official Name and Position | Joel Mittelman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8457823242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ezras Choilim Health Center, Inc. 49 Forest Rd Fl 3 Monroe NY 10950-2923 Ph: (845) 782-3242 | Ezras Choilim Health Center, Inc. 49 Forest Rd Fl 3 Monroe NY 10950-2923 Ph: (845) 782-3242 |
| NPI Number | 1538621289 |
|---|---|
| Provider Enumeration Date | 04/02/2019 |
| Last Update Date | 04/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538621289 | NPI | - | NPPES |
| 01620680 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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