Organization
COMPREHENSIVE COMMUITY DEVELOPMENT CORPORATION
Active
Organization
COMPREHENSIVE COMMUITY DEVELOPMENT CORPORATION
Active
Parent organization
COMPREHENSIVE COMMUNITY DEVELOPMENT CORP.
Other names
Jessica Guzman Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMPREHENSIVE COMMUNITY DEVELOPMENT CORP.
Authorized official
PEDRO ESPADA JR. (PRESIDENT & CEO)
(718) 589-2232
Entity
Organization
Contact information
Practice address
616 CASTLE HILL AVE, BRONX, NY 10473-1402
(718) 239-9013
(718) 794-0468
Mailing address
731 WHITE PLAINS RD, BRONX, NY 10473-2631
(718) 589-8324
(718) 860-1838
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
7000239R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00665274
—
NY
Enumeration date
07/08/2008
Last updated
06/21/2018
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