Organization
JOSEPH P. ADDABBO FAMILY HEALTH CENTER, INC.
Active
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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