Organization
BETANCES HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANTOS RIVERA DSW (CEO/EXECUTIVE DIRECTOR)
(212) 227-8401
Entity
Organization
Contact information
Practice address
280 HENRY ST., BETANCES HEALTH CENTER, NEW YORK, NY 10002-4816
(212) 227-8401
(212) 227-8842
Mailing address
280 HENRY ST, BETANCES HEALTH CENTER, NEW YORK, NY 10002-4816
(212) 227-8401
(212) 227-8842
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00243045
—
NY
Enumeration date
07/21/2006
Last updated
07/21/2022
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