Organization
DAMIAN FAMILY CARE CENTERS, INC.
Active
Organization
DAMIAN FAMILY CARE CENTERS, INC.
Active
Parent organization
DAMIAN FAMILY CARE CENTERS, INC.
Other names
121st STREET FAMILY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAMIAN FAMILY CARE CENTERS, INC.
Authorized official
MR. KAVANAUGH CHANDLER (PRESIDENT/CEO)
(718) 657-1100
Entity
Organization
Contact information
Practice address
219 E 121ST ST, NEW YORK, NY 10035-3018
(212) 987-5133
Mailing address
8956 162ND ST FL 3, JAMAICA, NY 11432-5072
(718) 657-1100
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
70032465R
NY
Other
Enumeration date
04/26/2016
Last updated
08/04/2026
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