| Joseph P. Addabbo Family Health Center, Inc. | |
|
6200 Beach Channel Drive Arverne NY 11692 | |
| (718) 945-7150 | |
| (718) 945-2596 |
| Full Name | Joseph P. Addabbo Family Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 6200 Beach Channel Drive, Arverne, New York |
| Authorized Official Name and Position | Robert Fliegel (ACTING CEO) |
| Authorized Official Contact | 7189457150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph P. Addabbo Family Health Center, Inc. 6200 Beach Channel Drive Arverne NY 11692 Ph: (718) 945-7150 | Joseph P. Addabbo Family Health Center, Inc. 6200 Beach Channel Drive Arverne NY 11692 Ph: (718) 945-7150 |
| NPI Number | 1831307628 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 03/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831307628 | NPI | - | NPPES |
| 00990152 | Medicaid | NY | |
| 0990152 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 071513 (New York) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |