| NPI | 1780839266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARIE STRAFACE Office Manager 914-777-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY 156521) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2016-12-27 |