| NPI | 1417387028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABELLA R PELUSO Owner 718-491-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 208691) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2024-08-22 |