Healthcare Provider Details

I. General information

NPI: 1710086590
Provider Name (Legal Business Name): AHRC HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 03/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 MAIDEN LN 6 TH FLOOR
NEW YORK NY
10038-4812
US

IV. Provider business mailing address

83 MAIDEN LN 6 TH FLOOR
NEW YORK NY
10038-4812
US

V. Phone/Fax

Practice location:
  • Phone: 212-780-2500
  • Fax: 212-777-4277
Mailing address:
  • Phone: 212-780-2500
  • Fax: 212-777-4277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number7002164R
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number7002164R
License Number StateNY

VIII. Authorized Official

Name: STEVE HO
Title or Position: CEO
Credential:
Phone: 212-780-4454