| NPI | 1619369048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTNEY N STOKES Team Supervisor 718-398-0153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 094063-1) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |