DAMIAN FAMILY CARE CENTER, INC.


Address: 13 Hell Gate Cir, New York, NY 10035-6602
Phone: 7186571100

DAMIAN FAMILY CARE CENTER, INC. (NPI# 1336650688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336650688
Entity Type Organization
Organization Name DAMIAN FAMILY CARE CENTER, INC.
Practice Address 13 Hell Gate Cir
New York
NY 10035-6602
Mailing Address 13802 Queens Blvd
Briarwood
NY 11435-2642
Practice Telephone 7186571100
Practice Fax Number 7186571870
Mailing Telephone 7186571100
Mailing Fax Number 7186571870
Enumeration Date 2017-10-13
Last Update Date 2017-10-13
Authorized Official Name PETER GRISAFI (PRESIDENT / CEO)
Authorized Official Telephone 7186571100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
7003246R NY Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1265970834 Damian Family Care Center, Inc. Clinic/Center 161 Lake Shore Rd, Lake Ronkonkoma, NY 11779-3182 2017-02-03
1104915123 Damian Family Care Center, Inc. Clinic/Center 225 E 53rd St, New York, NY 10022 2006-10-11
1619415288 Damian Family Care Center, Inc. Clinic/Center 3411 Vernon Blvd, Long Island City, NY 11106-5121 2017-02-03
1154868594 Damian Family Care Center, Inc. Clinic/Center 11711 Myrtle Ave, Richmond Hill, NY 11418-1751 2017-01-24

Office Location

Street Address 13 HELL GATE CIR
City NEW YORK
State NY
Zip Code 10035-6602

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1043821531 Shandrika Potts-mills Social Worker 2600 Madison Ave, New York, NY 10035 2020-08-10
1982220919 Christine Marie Fitzsimmons Registered Nurse 104-106 E 126th Street, 1a, New York, NY 10035 2020-06-25
1811542038 Tamsin Jordan Dietitian, Registered Hunter College, 2180 3rd Ave, New York, Ny, New York, NY 10035 2019-08-05
1659938397 Fanney Pereyra Dentist 2265 Third Avenue, New York, NY 10035 2019-05-28
1770046351 Ralph Lauren Center for Cancer Care and Prevention Special Hospital 1919 Madison Ave Frnt 2, New York, NY 10035 2019-04-10
1285105866 Union Square Eye Center LLC Optometrist 1815 Madison Avenue, New York, NY 10035 2018-12-08
1497236913 Susannah Irene Blum Speech-Language Pathologist Ps 138@ps30 144 Eat 138th Street, New York, NY 10035 2018-08-23
1114413267 Woodhull Medical Supplies Inc. Durable Medical Equipment & Medical Supplies 57 East 124th St, New York, NY 10035 2018-07-02
1477041234 Rina Rossignol Social Worker 108 Wards Island, Manhattan, NY 10035 2018-04-27
1669978664 Alexandra Black Student in an Organized Health Care Education/Training Program 53 East 124th Street, New York, NY 10035 2018-03-30
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1265046940 William F Ryan Community Health Center Inc Clinic/Center 154 Wadsworth Avenue, New York, NY 10033 2020-09-01
1154804805 Hudson River Healthcare, Inc. Clinic/Center 347 West 37th Street, Sidney R. Baer, Jr. Health Center, New York, NY 10018-4202 2018-09-10
1912436858 Community Healthcare Network, Inc. Clinic/Center 504 W. 158th Street, 5th Floor, Room 511, New York, NY 10032-7202 2017-06-05
1922475235 Odyssey Health Services Clinic/Center 219 E 121 St, New York, NY 10035 2015-08-24
1083093637 Damian Family Care Centers, Inc. Clinic/Center 500 8th Avenue, 3rd Floor, New York, NY 10018 2015-05-28
1972913473 Community Health Project Inc. Clinic/Center 230 W 17th Sreet, New York, NY 10011-5325 2014-05-06
1053588988 Under 21 Clinic/Center 460 W 41st, New York, NY 10036 2008-05-09
1609897453 Betances Health Center Clinic/Center 280 Henry St., Betances Health Center, New York, NY 10002-4816 2006-07-21
1588691828 William F. Ryan Community Health Center Inc Clinic/Center 279 E 3rd St, New York, NY 10009 2006-06-26
1215978960 Ryan Chelsea Clinton Community Health Center Clinic/Center 645 10th Ave, New York, NY 10036 2006-06-10
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Competitor

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City NEW YORK
Zip Code 10035

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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