| NPI | 1255627725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANAKI KANUMILLI President 718-268-1458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 222149) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |