| NPI | 1609150135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALEH N SALEH Owner 718-595-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 0021941) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |