| 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 |