Provider Demographics
NPI:1467201939
Name:COMMUNITY HEALTH IMPROVEMENT CENTERS, INC
Entity type:Organization
Organization Name:COMMUNITY HEALTH IMPROVEMENT CENTERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SHKLYAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-343-2772
Mailing Address - Street 1:96 LINWOOD PLAZA, RT 9W
Mailing Address - Street 2:SUITE 303
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:680 BROADWAY
Practice Address - Street 2:SUITE 1A/SUITE 100
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07514
Practice Address - Country:US
Practice Address - Phone:973-435-6666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical