| Laurel Hall Health Center | |
|
8515 101st Ave Ozone Park NY 11416-2019 | |
| (718) 307-2959 | |
| (718) 307-2960 |
| Full Name | Laurel Hall Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 8515 101st Ave, Ozone Park, New York |
| Authorized Official Name and Position | John Chue (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2123664459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel Hall Health Center 30 E 33rd St Fl 5 New York NY 10016-5337 Ph: (212) 366-4459 | Laurel Hall Health Center 8515 101st Ave Ozone Park NY 11416-2019 Ph: (718) 307-2959 |
| NPI Number | 1386108140 |
|---|---|
| Provider Enumeration Date | 01/25/2019 |
| Last Update Date | 02/27/2025 |
| Certification Date | 02/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386108140 | NPI | - | NPPES |
| 03064422 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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