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NPI Code Detail

MEDICARE: COMMUNITY HEALTHCARE NETWORK, INC.

MEDICARE: COMMUNITY HEALTHCARE NETWORK, 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)NY

General Provider Information

NPI Number : 1811064744
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HEALTHCARE NETWORK, INC.
Provider Business Mailing Address
First Line : 44 W 28TH STREET
Second Line : FLOOR 5
City : NEW YORK
State : NY
Zip : 10001-4212
Country : US
Telephone Number : 212-545-2409
Fax Number : 646-312-0481
Provider Business Practice Location Address
First Line : 1167 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-5417
Country : US
Telephone Number : 718-778-0198
Fax Number : 718-221-8169
Authorized Official
Title or Position : CFO
Name : ALAN J. WENGROFSKY
Credential :
Telephone Number : 212-545-2481
Provider Enumeration Date : 11/29/2006
Last Update Date : 09/12/2025

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Directions to “COMMUNITY HEALTHCARE NETWORK, INC. ” Practice Location

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