Organization
JOSEPH P. ADDABBO FAMILY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT FLIEGEL (ACTING CEO)
(718) 945-7150
Entity
Organization
Contact information
Practice address
6200 BEACH CHANNEL DRIVE, ARVERNE, NY 11692
(718) 945-7150
(718) 945-2596
Mailing address
6200 BEACH CHANNEL DRIVE, ARVERNE, NY 11692
(718) 945-7150
(718) 945-7150
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
071513
NY
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00990152
—
NY
05
—
0990152
—
NY
Enumeration date
05/18/2007
Last updated
03/17/2014
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