| NPI | 1831517101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN C ROMELUS Owner 718-676-0157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 032626) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |