Organization
BETANCES HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANTOS ANTHONY RIVERA D.S.W. (CEO)
(212) 227-8401
Entity
Organization
Contact information
Practice address
1427 BROADWAY, BROOKLYN, NY 11221-4202
(212) 227-8401
Mailing address
1427 BROADWAY, BROOKLYN, NY 11221-4202
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
7002208R
NY
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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