| NPI | 1740366012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM RUBINFELD Controller 718-693-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 7001366N) |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2011-11-18 |