| NPI | 1508953720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONID GOLDSHMIDT Owner 347-967-8747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 006673) |
| Enumeration Date | 2006-10-08 |
| Last Update Date | 2018-03-17 |