Organization
WILLIAM F RYAN COMMUNITY HEALTH CENTER INC
Active
Parent organization
WILLIAM F RYAN COMMUNITY HEALTH CENTER INC
Other names
Ryan Frederick Douglass Community Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLIAM F RYAN COMMUNITY HEALTH CENTER INC
Authorized official
MR. JOSE VIRELLA (CHIEF FINANCIAL OFFICER)
(212) 316-7906
Entity
Organization
Contact information
Practice address
2381 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10027-1822
(212) 749-1820
Mailing address
2381 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10027-1822
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
7002243R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04633116
—
NY
Enumeration date
07/20/2016
Last updated
07/15/2024
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