| NPI | 1841565165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASRY MICHELEN Chief Executive Officer 646-483-2182 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |