| NPI | 1255421053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER GOLDSHMIDT Manager 718-232-3907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 007466) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-03-24 |