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Organization

WILLIAM F RYAN COMMUNITY HEALTH CENTER INC

Active
Other names
William F Ryan CHC Inc
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSE VIRELLA (CHIEF FINANCIAL OFFICER)
(212) 316-7906
Entity
Organization

Contact information

Practice address
110 W 97TH ST, NEW YORK, NY 10025
(212) 749-1820
(212) 280-4793
Mailing address
110 W 97TH ST, NEW YORK, NY 10025
(212) 749-1820
(212) 280-4793

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02999264
NY
Enumeration date
06/26/2006
Last updated
07/15/2024
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