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Under 21
Federally Qualified Health Center (FQHC) in New York, New York
NPI 1053588988

Under 21 is a Federally Qualified Health Center (FQHC) based in New York, NY and is specialized in Federally Qualified Health Center (FQHC). Under 21 practices in New York, NY. The NPI Number for Under 21 is 1053588988 and holds a License No. (New York).

The current practice location address for Under 21 is 460 W 41St, New York, NY and can be reached out via phone at 212-613-0300 and via fax at 212-268-2832.

Location: 460 W 41St, New York, NY, 10036
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053588988
Provider Name
Under 21
Credential
Provider Entity Type
Organization
Address
460 W 41St, New York, NY, 10036
Phone Number
212-613-0300
Fax Number
212-268-2832
Provider Enumeration Date
05/09/2008
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
00733826 05 NY
institution
Provider Business Practice Location Address Details
Address
460 W 41St
City
New York
State
New York
Zip
10036
Phone Number
212-613-0300
Fax Number
212-268-2832
person
Provider Business Mailing Address Details
Address
460 W 41St
City
New York
State
New York
Zip
10036
Phone Number
212-613-0300
Fax Number
212-268-2832
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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