Organization
LASANTE HEALTH CENTER INC
Active
Parent organization
LASANTE HEALTH CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LASANTE HEALTH CENTER INC
Authorized official
GEDALYA BLUMENFRUCHT (CFO)
(718) 246-5700
Entity
Organization
Contact information
Practice address
672 PARKSIDE AVE, BROOKLYN, NY 11226-2298
(718) 246-5700
Mailing address
672 PARKSIDE AVE, BROOKLYN, NY 11226-2298
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04644657
—
NY
Enumeration date
02/07/2023
Last updated
02/21/2023
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