NPI | 1255683447 |
---|---|
Entity Type | Organization |
Authorized Contact | MARISOL APONTE President 718-828-1549 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 302R00000X Health Maintenance Organization |
Enumeration Date | 2012-10-11 |
Last Update Date | 2024-09-23 |