NPI | 1396291209 |
---|---|
Entity Type | Organization |
Authorized Contact | JOEL M RECTOR Physician 347-577-7306 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 200510) |
Enumeration Date | 2016-08-30 |
Last Update Date | 2016-08-30 |