Organization
CHARLES B. WANG COMMUNITY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAUSHAL CHALLA (CHIEF EXECUTIVE OFFICER)
(212) 379-6988
Entity
Organization
Contact information
Practice address
13172 40TH RD, FLUSHING, NY 11354-5137
(718) 587-1111
(718) 587-1122
Mailing address
268 CANAL ST, NEW YORK, NY 10013-3599
(212) 379-6988
(212) 379-6936
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00356318
—
NY
Enumeration date
09/13/2022
Last updated
09/29/2025
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