| Family Health Center | |
|
89-44 164th St Jamaica NY 11432-6103 | |
| (718) 523-2123 | |
| (718) 523-5833 |
| Full Name | Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 89-44 164th St, Jamaica, New York |
| Authorized Official Name and Position | Alan J. Wengrofsky (VP OF FINANCE/CFO) |
| Authorized Official Contact | 2125452481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Center 60 Madison Ave 5th Floor New York NY 10010-1600 Ph: (212) 545-2439 | Family Health Center 89-44 164th St Jamaica NY 11432-6103 Ph: (718) 523-2123 |
| NPI Number | 1124396874 |
|---|---|
| Provider Enumeration Date | 12/09/2011 |
| Last Update Date | 11/30/2023 |
| Medicare PECOS PAC ID | 7416855143 |
|---|---|
| Medicare Enrollment ID | O20130122000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124396874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 7002119R (New York) | Primary |
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