| Middletown Community Health Center, Inc. | |
|
10 Brotherhood Plaza Dr Washingtonville NY 10992-2260 | |
| (845) 614-5981 | |
| Not Available |
| Full Name | Middletown Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 10 Brotherhood Plaza Dr, Washingtonville, New York |
| Authorized Official Name and Position | Maryjo Jobity (CFO) |
| Authorized Official Contact | 8453437614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Middletown Community Health Center, Inc. 21 Orchard St Middletown NY 10940-5004 Ph: () - | Middletown Community Health Center, Inc. 10 Brotherhood Plaza Dr Washingtonville NY 10992-2260 Ph: (845) 614-5981 |
| NPI Number | 1942621800 |
|---|---|
| Provider Enumeration Date | 12/19/2013 |
| Last Update Date | 05/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942621800 | NPI | - | NPPES |
| 00355931 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Jahanara Reza Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 67 E Main St, Washingtonville, NY 10992 Phone: 845-496-8466 | |
Syed I. Moin, M.d.p.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 E Main St, Washingtonville, NY 10992 Phone: 845-496-8466 Fax: 845-496-1396 |