Organization
COMMUNITY HEALTH PROJECT INC.
Active
Organization
COMMUNITY HEALTH PROJECT INC.
Active
Other names
Callen-Lorde Integrated Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR DE LA CRUZ (PAYER ENROLLMENT ANALYST)
(212) 271-7228
Entity
Organization
Contact information
Practice address
356 W 18TH ST, 6TH FLOOR, NEW YORK, NY 10011-4401
(212) 271-7200
(212) 271-7225
Mailing address
356 W 18TH ST, NEW YORK, NY 10011-4462
(212) 271-7200
(212) 271-7225
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04101204
—
NY
Enumeration date
05/06/2014
Last updated
01/15/2026
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