| NPI | 1164728150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JOSEPH CALVO Dentist 516-354-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 036168) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-02-08 |