| NPI | 1205111861 |
|---|---|
| Doing Business As | FIDELIS CARE NEW YORK |
| Entity Type | Organization |
| Authorized Contact | MARK L LANE President & Chief Executive Officer 718-896-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY C-027194) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-28 |