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NPI Code Detail

MEDICARE: REFUAH HEALTH CENTER INC

MEDICARE: REFUAH HEALTH CENTER 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)4353202RNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2A100059885OTHERNYPART B

General Provider Information

NPI Number : 1669470019
Entity Type Code : Organization
Provider Name (Legal Business Name) : REFUAH HEALTH CENTER INC
Provider Business Mailing Address
First Line : 728 N MAIN ST
Second Line :
City : SPRING VALLEY
State : NY
Zip : 10977-1960
Country : US
Telephone Number : 845-354-9300
Fax Number :
Provider Business Practice Location Address
First Line : 728 N MAIN ST
Second Line :
City : SPRING VALLEY
State : NY
Zip : 10977-1960
Country : US
Telephone Number : 845-354-9300
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. CHANIE STERNBERG
Credential :
Telephone Number : 845-354-9301
Provider Enumeration Date : 07/11/2005
Last Update Date : 03/25/2026

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