Organization
LA CASA DE SALUD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKY GATELL (CHIEF FINANCIAL OFFICER)
(718) 960-7629
Entity
Organization
Contact information
Practice address
754 E 151ST ST, BRONX, NY 10455
(347) 352-2484
(917) 473-6970
Mailing address
311 E 175TH ST, BRONX, NY 10457-5859
(718) 960-7568
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
7000271R
NY
261QM1300X
Multi-Specialty Clinic/Center
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04458637
—
NY
Enumeration date
05/02/2016
Last updated
09/23/2022
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