NPI:
1689669079
Provider Name:
CORNERSTONE FAMILY HEALTHCARE
Former Legal Business Name: THE GREATER HUDSON VALLEY FAMILY HEALTH CENTER, INC.
Classification:
Clinic/Center - 261QF0400X
Entity Type:
Organization
Specialization: Federally Qualified Health Center (FQHC)
CLIA Number: 33D2100071
Address:
147 LAKE STREET
NEWBURGH, NY
ZIP 12550
Phone:
(845) 563-8000
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CORNERSTONE FAMILY HEALTHCARE is a federally qualified health center (fqhc) clinic center in Newburgh, NY. CORNERSTONE FAMILY HEALTHCARE NPI is 1689669079. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is The Greater Hudson Valley Family Health Center, Inc..
The provider's business location address is:
147 LAKE STREET
NEWBURGH, NY
ZIP 12550-242
Phone: (845) 563-8000
Fax: (845) 563-8093
The provider's authorized official is David Jolly .
The authorized official title is Ceo and has the following contact phone number (845) 220-3165.
The CLIA number assigned to this NPI record is 33D2100071 - community clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/13/2005 and was last updated on 1/19/2023.