| NPI | 1700143427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAVONNE SHARON ALEXANDRE Lpn 585-287-4014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 308528) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |