ODA PRIMARY HEALTH CARE NETWORK, INC.; NPI #1093263998

Contact Information

ODA PRIMARY HEALTH CARE NETWORK, INC.

6 DAIRYLAND RD
WOODRIDGE, NY 12789

Phone: 718-260-4600
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for ODA PRIMARY HEALTH CARE NETWORK, INC.

NPI #	`1093263998`
LBN Legal business name	ODA PRIMARY HEALTH CARE NETWORK, INC.
Authorized official	ROSE ROSENFELD - (CFO)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	09/20/2016
Last updated	01/04/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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