| NPI | 1003238379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMELDA ALONSO CARIN Owner 718-384-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 14973-1) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-01-06 |