| NPI | 1346367554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH BERGER Dentist 516-594-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 040617-1) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |