Organization
DAMIAN FAMILY CARE CENTERS, INC.
Active
Parent organization
DAMIAN FAMILY CARE CENTERS, INC.
Other names
Project Samaritan Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAMIAN FAMILY CARE CENTERS, INC.
Authorized official
MR. PETER GRISAFI (PRESIDENT/ CEO)
(718) 657-1100
Entity
Organization
Contact information
Practice address
161 LAKE SHORE RD, LAKE RONKONKOMA, NY 11779-3182
(631) 306-5895
(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
02/03/2017
Last updated
08/30/2022
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