Organization
DAMIAN FAMILY CARE CENTERS, INC.
Active
Organization
DAMIAN FAMILY CARE CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAVANAUGH CHANDLER MD (PRESIDENT / CEO)
(718) 657-1100
Entity
Organization
Contact information
Practice address
13 HELL GATE CIR, NEW YORK, NY 10035-6602
(718) 657-1100
(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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06059883
—
NY
Enumeration date
10/13/2017
Last updated
06/11/2026
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