| NPI | 1225220072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL F CANINO Owner 917-543-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 069434) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2024-02-20 |