| NPI | 1578642054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH J. DUDEK President 212-582-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 01303502) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |