| NPI | 1467987123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA MARIE BEGENT Owner/Occupational Therapist 631-742-5472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 015848-1) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: NY 015948-1) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |