| NPI | 1790001626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER BALKO Sr.VP Chief Financial Officer 718-491-7221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2022-07-21 |