| NPI | 1497183974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHAV A GUDI Sole Owner 718-930-5230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 122837) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-10-22 |