| NPI | 1689873085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARKADIY SHUSTERMAN President 718-441-4458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 217079) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2008-04-25 |