| NPI | 1083985055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHIN Owner 718-473-2913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: HI MD15588) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |