| Community Healthcare Network, Inc | |
|
2811 41st St Astoria NY 11103-3330 | |
| (718) 482-7772 | |
| (718) 482-9648 |
| Full Name | Community Healthcare Network, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2811 41st St, Astoria, New York |
| Authorized Official Name and Position | Alan J. Wengrofsky (CFO) |
| Authorized Official Contact | 2125452481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Healthcare Network, Inc 60 Madison Ave 5th Floor New York NY 10010-1600 Ph: (212) 545-2439 | Community Healthcare Network, Inc 2811 41st St Astoria NY 11103-3330 Ph: (718) 482-7772 |
| NPI Number | 1750662672 |
|---|---|
| Provider Enumeration Date | 09/06/2011 |
| Last Update Date | 09/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750662672 | NPI | - | NPPES |
| 00695941 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7002119R (New York) | Primary |
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