Organization
CHARLES EVANS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT C. GOLDSMITH (EXECUTIVE DIRECTOR)
(516) 622-8888
Entity
Organization
Contact information
Practice address
857 S OYSTER BAY RD, BETHPAGE, NY 11714-1030
(516) 622-8888
(516) 342-2480
Mailing address
857 S OYSTER BAY RD, BETHPAGE, NY 11714-1030
(516) 622-8888
(516) 342-2480
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
2950212R
NY
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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