| NPI | 1306819230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HASTINGS FORESMAN President 315-258-5253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 195558) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2008-06-19 |