CHARLES B. WANG COMMUNITY HEALTH CENTER INC. NPI 1144203498

NPI Information

CHARLES B. WANG COMMUNITY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in New York, NY. CHARLES B. WANG COMMUNITY HEALTH CENTER, INC. NPI is 1144203498. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Chinatown Action For Progress.

The provider's business location address is:

268 CANAL ST
NEW YORK, NY
ZIP 10013-599
Phone: (212) 379-6999
Fax: (212) 379-6929

The provider's authorized official is Kaushal Challa .
The authorized official title is Chief Executive Officer and has the following contact phone number (212) 379-6988.

The CLIA number assigned to this NPI record is 33D0671190 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/21/2005 and was last updated on 11/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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