Organization
APICHA COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESITA R RODRIGUEZ (CHIEF EXECUTIVE OFFICER)
(212) 334-7940
Entity
Organization
Contact information
Practice address
400 BROADWAY, NEW YORK, NY 10013-3698
(212) 334-6029
(212) 334-7957
Mailing address
400 BROADWAY, NEW YORK, NY 10013-3698
(212) 334-6029
(212) 334-7957
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02997175
—
NY
Enumeration date
04/11/2007
Last updated
11/03/2020
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