| NPI | 1144698358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE JOHNSON C RN P 347-683-8141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AL 1-134759) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |