HERITAGE HEALTH AND HOUSING INC NPI 1851414965

NPI Information

HERITAGE HEALTH AND HOUSING, INC is a federally qualified health center (fqhc) clinic center in New York, NY. HERITAGE HEALTH AND HOUSING, INC NPI is 1851414965. The provider is registered as an organization entity type.
The provider Other Name Is N/a.

The provider's business location address is:

1727 AMSTERDAM AVE
4TH FLOOR
NEW YORK, NY
ZIP 10031-611
Phone: (212) 862-0054
Fax: (212) 862-5516

The provider's authorized official is Alvaro Jose Simmons .
The authorized official title is Ceo and has the following contact phone number (212) 862-0054.

The CLIA number assigned to this NPI record is 33D0892417 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 1/15/2015.

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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