| Ralph Avenue Health Center | |
|
599 Ralph Ave Brooklyn NY 11233 | |
| (718) 581-5798 | |
| Not Available |
| Full Name | Ralph Avenue Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 599 Ralph Ave, Brooklyn, New York |
| Authorized Official Name and Position | Peter Grisafi (PRESIDENT/CEO) |
| Authorized Official Contact | 7186571100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph Avenue Health Center 8956 162nd St Fl 3 Jamaica NY 11432-5072 Ph: (718) 657-1100 | Ralph Avenue Health Center 599 Ralph Ave Brooklyn NY 11233 Ph: (718) 581-5798 |
| NPI Number | 1477909349 |
|---|---|
| Provider Enumeration Date | 05/10/2016 |
| Last Update Date | 09/12/2022 |
| Medicare PECOS PAC ID | 6507849882 |
|---|---|
| Medicare Enrollment ID | O20220131002254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477909349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 7003246R (New York) | Primary |
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