| NPI | 1285121400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CARVELLI EVP 888-703-6999 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY xxxx) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-05-18 |