Organization
COMMUNITY HEALTHCARE NETWORK, INC
Active
Organization
COMMUNITY HEALTHCARE NETWORK, INC
Active
Other names
Ohio
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN J. WENGROFSKY (VICE PRESIDENT OF FINANCE AND CFO)
(212) 545-2481
Entity
Organization
Contact information
Practice address
9704 SUTPHIN BLVD, JAMAICA, NY 11435-4721
(718) 657-7088
(718) 657-7092
Mailing address
60 MADISON AVE, 5TH FLOOR, NEW YORK, NY 10010-1600
(212) 545-2439
(646) 312-0481
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
7002119R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000695941
—
NY
Enumeration date
01/06/2016
Last updated
05/11/2016
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