| NPI | 1306239116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY CORNACHIO Owner 212-967-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251S00000X |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |