| NPI | 1376749283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME F. ROMAN President 718-205-5355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 152166) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |