| NPI | 1306099726 |
|---|---|
| Former Legal Business Name | CENTRAL BROOKLYN MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LESLY KERNISANT Chief Medical Officer 718-422-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 191562) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |