| NPI | 1427436526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ALESSI Chief Financial Officer 646-737-1505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2019-07-25 |