NPI | 1174817191 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA LYNN JORDAN Doctor/Owner 607-387-5771 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 011988) |
Enumeration Date | 2011-06-07 |
Last Update Date | 2011-06-07 |