Organization
ODA PRIMARY HEALTH CARE NETWORK MOBILE CLINIC
Active
Parent organization
ODA PRIMARY HEALTH CARE NETWORK, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ODA PRIMARY HEALTH CARE NETWORK, INC.
Authorized official
ROSE TEITELBAUM (CFO)
(917) 648-6682
Entity
Organization
Contact information
Practice address
14 HEYWARD ST, BROOKLYN, NY 11249-7823
(718) 260-4600
Mailing address
14 HEYWARD ST, BROOKLYN, NY 11249-7823
(718) 260-4600
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
01/04/2022
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