| NPI | 1164961066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZZAM MOHAMAD President 347-859-3213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 061102) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |