| Project Samaritan Health Services | |
|
3411 Vernon Blvd Long Island City NY 11106-5121 | |
| (212) 595-5810 | |
| (718) 657-1870 |
| Full Name | Project Samaritan Health Services |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3411 Vernon Blvd, Long Island City, New York |
| Authorized Official Name and Position | Peter Grisafi (PRESIDENT/ CEO) |
| Authorized Official Contact | 7186571100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Samaritan Health Services 13802 Queens Blvd Briarwood NY 11435-2642 Ph: (718) 657-1100 | Project Samaritan Health Services 3411 Vernon Blvd Long Island City NY 11106-5121 Ph: (212) 595-5810 |
| NPI Number | 1619415288 |
|---|---|
| Provider Enumeration Date | 02/03/2017 |
| Last Update Date | 02/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619415288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 7003246R (New York) | Primary |
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