| NPI | 1043346216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUIRICO CABREDO Commander 718-354-4414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 17100000x) |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2008-06-18 |