| NPI | 1487888251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC AVVENTO Presdent/ Clinic Director 631-744-2114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY X011602-1) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2009-05-08 |