| NPI | 1265817365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POLINA KOGAN Director Of Pharmacy 212-290-9107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 059475) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |