| NPI | 1598243065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARZENA FERCZ Chief Compliance Officer 917-862-8114 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2025-08-06 |