Damian Family Care Centers, Inc.
NPI #1265970834 in Lake Ronkonkoma, New York
Provider Information
- NPI Number
- 1265970834
- Entity Type
- Organization
- Organization Name
- Damian Family Care Centers, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DAMIAN FAMILY CARE CENTERS, INC.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Feb 3, 2017
- Last Updated
- Aug 30, 2022
Practice Location
- Address
- 161 LAKE SHORE RD
- City
- Lake Ronkonkoma
- State
- New York
- ZIP Code
- 11779-3182
- Phone
- (631) 306-5895
Authorized Official
- Name
- MR. PETER GRISAFI
- Title
- PRESIDENT/ CEO
- Phone
- (718) 657-1100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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