Organization
AIZER HEALTH , INC.
Active
Other names
Ezras Choilim Health Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL MITTELMAN (EXECUTIVE DIRECTOR)
(845) 782-3242
Entity
Organization
Contact information
Practice address
49 FOREST ROAD, MONROE, NY 10950-2923
(845) 782-3242
(845) 783-7133
Mailing address
49 FOREST ROAD, MONROE, NY 10950-2923
(845) 782-3242
(845) 783-7133
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01620680
—
NY
Enumeration date
03/14/2006
Last updated
08/15/2024
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