| NPI | 1396068425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISLAM SHERIF President 917-686-0497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 023514) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 023514) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |