OrganizationActive
Departement of Health and Mental Hygiene
NPI 1104176395 · Community Health Clinic/Center · Jackson Heights, NY
Provider details
- NPI number
- 1104176395
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Caban, Patient Care Manager(718) 476-7123
- License
- 545218-1 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3433 Junction Blvd
Jackson Heights, NY 11372-3828
Phone: (718) 476-7636
Fax: (718) 476-7131
Approximate (ZIP-level) locationGet directions
Mailing address
3433 Junction Blvd
Jackson Heights, NY 11372-3828
Registry dates
- Enumerated
- 2012-09-14
- Last updated
- 2012-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.