| NPI | 1255581617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA RAMIREZ Director 718-652-9790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 602510-1) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |