| NPI | 1639621204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE LYNNE ESPER Licensed Psychoanalyst 917-841-2459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 000721) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |