| NPI | 1598016974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCEL A AJAH Owner 718-739-3225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 220777) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2013-11-22 |