| NPI | 1568719102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL OLADOSU President 347-922-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |