Organization
HERITAGE HEALTH AND HOUSING, INC
Active
Other names
n/a
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVARO JOSE SIMMONS PHD (CEO)
(212) 862-0054
Entity
Organization
Contact information
Practice address
1727 AMSTERDAM AVE, 4TH FLOOR, NEW YORK, NY 10031-4611
(212) 862-0054
(212) 862-5516
Mailing address
1727 AMSTERDAM AVE, 4TH FLOOR, NEW YORK, NY 10031-4611
(212) 862-0054
(212) 862-5516
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
7002113R
NY
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
7002113R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00509980
—
NY
Enumeration date
04/06/2007
Last updated
01/15/2015
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