| 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 | 2022-03-02 |