| NPI | 1598195737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINA SHARAB Faculty 646-645-4662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: KY 9129) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-11-26 |