| Long Island Fqhc, Inc. | |
|
820 Front St Hempstead NY 11550-4627 | |
| (516) 572-1300 | |
| Not Available |
| Full Name | Long Island Fqhc, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 820 Front St, Hempstead, New York |
| Authorized Official Name and Position | David Neimiroff (PRESIDENT, CEO) |
| Authorized Official Contact | 5165464198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Fqhc, Inc. 1600 Stewart Ave Ste 300 Westbury NY 11590-6611 Ph: (516) 396-0187 | Long Island Fqhc, Inc. 820 Front St Hempstead NY 11550-4627 Ph: (516) 572-1300 |
| NPI Number | 1215403050 |
|---|---|
| Provider Enumeration Date | 10/19/2018 |
| Last Update Date | 10/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215403050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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