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NPI Code Detail

MEDICARE: AHRC HEALTH CARE INC

MEDICARE: AHRC HEALTH CARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)7002164RNY
2261Q00000XClinic/Center7002164RNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710086590
Entity Type Code : Organization
Provider Name (Legal Business Name) : AHRC HEALTH CARE INC
Provider Business Mailing Address
First Line : 83 MAIDEN LN
Second Line : 6 TH FLOOR
City : NEW YORK
State : NY
Zip : 10038-4812
Country : US
Telephone Number : 212-780-2500
Fax Number : 212-777-4277
Provider Business Practice Location Address
First Line : 83 MAIDEN LN
Second Line : 6 TH FLOOR
City : NEW YORK
State : NY
Zip : 10038-4812
Country : US
Telephone Number : 212-780-2500
Fax Number : 212-777-4277
Authorized Official
Title or Position : CEO
Name : STEVE HO
Credential :
Telephone Number : 212-780-4454
Provider Enumeration Date : 09/21/2006
Last Update Date : 03/22/2016

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