Organization
CENTRO ALTAGRACIA DE FE Y JUSTICIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD ESPINAL (EXECUTIVE DIRECTOR)
(212) 568-2115
Entity
Organization
Contact information
Practice address
511 W 164TH ST, NEW YORK, NY 10032-4204
(212) 568-2115
Mailing address
511 W 164TH ST, NEW YORK, NY 10032-4204
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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