Organization Name: | JOSEPH P ADDABBO FAMILY HEALTH CENTER,INC |
NPI Number: | 1659405710 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JR PETER NELSON (EXECUTIVE DIRECTOR) |
Mailing Address: | 6200 Beach Channel Dr Arverne |
State: | NY US |
Postal Code: | 116921409 |
Phone Number: | 7189457150 |
Fax Number: | 7189451743 |
NPI Enumeration Date: | 03/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 070343-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |