| NPI | 1740520949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA BUONOCORE-RUT Executive Director 718-289-2669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |