| NPI | 1649555079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE LYNN GOODRICH Nurse Practitioner 607-857-6670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 336951) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-18 |