| NPI | 1427328392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM DEMETRIUS CUMMINGS-WILLIAMS Clinical Nurse Specialist 917-749-7946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 410426) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |