| NPI | 1144682931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANATOLIY KAGAN Owner 1718-596-6596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY c006785-1) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |