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Organization

LA CASA DE SALUD INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICKY GATELL (CHIEF FINANCIAL OFFICER)
(718) 960-7629
Entity
Organization

Contact information

Practice address
966 PROSPECT AVE, BRONX, NY 10459
(718) 991-7100
Mailing address
311 E 175TH ST, BRONX, NY 10457-5859
(718) 960-7522

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
7000271R
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02739320
NY
Enumeration date
07/28/2005
Last updated
12/04/2023
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