| NPI | 1619316718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BROWN Vice President Of Managed Care 516-465-8106 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2013-07-01 |