Organization
JOSEPH P. ADDABBO FAMILY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE HASTICK-MOTES MPA (CHIEF EXECUTIVE OFFICER)
(718) 945-7150
Entity
Organization
Contact information
Practice address
11811 GUY R BREWER BLVD, JAMAICA, NY 11434-2101
(718) 945-7150
(718) 945-2596
Mailing address
6200 BEACH CHANNEL DR, ARVERNE, NY 11692-1409
(718) 945-7150
(718) 945-2596
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
7003234R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00990152
—
NY
Enumeration date
08/07/2012
Last updated
11/17/2025
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