Organization
LASANTE HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEDALYA BLUMENFRUCHT (CFO)
(718) 246-5700
Entity
Organization
Contact information
Practice address
672 PARKSIDE AVE, 2ND FLOOR, BROOKLYN, NY 11226-1506
(718) 246-5700
(718) 246-5750
Mailing address
672 PARKSIDE AVE, 2ND FLOOR, BROOKLYN, NY 11226-1506
(718) 246-5700
(718) 246-5750
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
02/27/2015
Last updated
10/19/2020
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