| NPI | 1659798734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATANYA WALKER Human Resource Specialist 914-737-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY 086090) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-26 |