Organization
ODA PRIMARY HEALTH CARE NETWORK, INC.
Active
Parent organization
ODA PRIMARY HEALTH CARE NETWORK, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ODA PRIMARY HEALTH CARE NETWORK, INC.
Authorized official
ALICIA PEGUERO (DIRECTOR OF PATIENT SERVICES)
(718) 260-4600
Entity
Organization
Contact information
Practice address
779 E NEW YORK AVE, BROOKLYN, NY 11203-1390
(718) 260-4600
Mailing address
74 WALLABOUT ST, BROOKLYN, NY 11249-7830
(718) 260-4600
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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