Organization
COMMUNITY HEALTHCARE NETWORK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN J. WENGROFSKY (VP OF FINANCE/CFO)
(212) 545-2481
Entity
Organization
Contact information
Practice address
350 GRAND ST, ROOM 240, NEW YORK, NY 10002-4629
(212) 432-8490
Mailing address
60 MADISON AVE, 5TH FLOOR, NEW YORK, NY 10010-1600
(212) 545-2439
(646) 312-0481
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
7002119R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000695941
—
NY
Enumeration date
03/02/2015
Last updated
03/02/2015
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