Organization
BEACON CHRISTIAN COMMUNITY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HOI KIM (CEO)
(718) 815-6560
Entity
Organization
Contact information
Practice address
2031 FOREST AVE STE 2, STATEN ISLAND, NY 10303-1796
(718) 815-6560
Mailing address
2079 FOREST AVE, STATEN ISLAND, NY 10303-1865
(718) 815-6560
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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