| NPI | 1497398267 |
|---|---|
| Doing Business As | PASSPORT HEALTH NYS |
| Entity Type | Organization |
| Authorized Contact | DONNA MARIE TORTORETTI CEO 855-729-2479 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |