| NPI | 1740600147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CARDAMONE Pharmacist 888-343-3547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 20 055939) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |