Ezras Choilim Health Center, Inc.

LBN: Ezras Choilim Health Center, Inc.
Ezras Choilim Health Center, Inc. is an health care organization with primary practice located at 49 Forest Rd Fl 3 , Monroe NY 10950-2923. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Ezras Choilim Health Center, Inc. can be contacted via phone (845) 782-3242, or through Mittelman, Joel via phone (845) 782-3242.

Contact Information

Primary practice address
49 Forest Rd Fl 3 Monroe NY 10950-2923
Phone: (845) 782-3242
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mittelman, Joel
Phone: (845) 782-3242

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1538621289
LBN Legal business name Ezras Choilim Health Center, Inc.
DBA Doing business as
Authorized official Mittelman, Joel
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2019
Last updated Apr 2nd, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538621289 NPPES
New York MEDICAID 01620680

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