NPI | 1699965848 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD E. HONIGMAN President 516-731-8050 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY 131101) |
Enumeration Date | 2007-07-25 |
Last Update Date | 2007-07-25 |