Organization
DAMIAN FAMILY CARE CENTERS, INC.
Active
Organization
DAMIAN FAMILY CARE CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON SIESS (CFO)
(718) 657-1100
Entity
Organization
Contact information
Practice address
13802 QUEENS BLVD, 2ND FLOOR, BRIARWOOD, NY 11435-2642
(718) 657-1100
(718) 657-1870
Mailing address
8956 162ND ST FL 3, JAMAICA, NY 11432-5072
(718) 657-1100
(718) 657-1870
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
7003246R
NY
Other
Enumeration date
05/07/2015
Last updated
09/29/2021
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