| NPI | 1255713103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAROLINA ALENKINA Pharmacy Services Specialist 212-946-9107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2015-06-26 |