| NPI | 1790164374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADNAN SHAHID President 718-978-6168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 033563) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |