Organization
COMPREHENSIVE COMMUITY DEVELOPMENT CORPORATION
Active
Other names
Soundview Healthcare Network
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEDRO ESPADA JR. (PRESIDENT & CEO)
(718) 589-2232
Entity
Organization
Contact information
Practice address
731 WHITE PLAINS RD, BRONX, NY 10473-2631
(718) 589-8324
(718) 860-1838
Mailing address
731 WHITE PLAINS RD, BRONX, NY 10473-2631
(718) 589-8324
(718) 860-1838
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
7000239R
NY
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00665274
—
NY
01
—
7000239R
OPERATING CERTIFICATE
NY
Enumeration date
08/09/2005
Last updated
02/28/2012
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