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 |