| NPI | 1427384056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ROBERT GAMBINO President 516-554-4929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY X010987) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: NY X010987) |
| 305R00000X Preferred Provider Organization (Licence: NY X010987) | |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |