Organization
COMMUNITY HEALTH PROJECT INC.
Active
Organization
COMMUNITY HEALTH PROJECT INC.
Active
Other names
Callen-Lorde Bronx
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS MARTIN (COMPLIANCE ANALYST)
(212) 271-7269
Entity
Organization
Contact information
Practice address
3144 3RD AVE, BRONX, NY 10451-4629
(212) 271-7200
(212) 271-8128
Mailing address
356 W 18TH ST, NEW YORK, NY 10011-4401
(212) 271-7200
(212) 271-8128
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04626028
—
NY
01
—
571052
MEDICARE
—
Enumeration date
11/02/2015
Last updated
03/15/2018
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