| NPI | 1073708574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS AUGUSTO MONTENEGRO CEO 718-322-2688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 227588) |
| Enumeration Date | 2007-09-08 |
| Last Update Date | 2007-09-08 |