| NPI | 1841581006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA L CARDONA Clinical Therapist 516-538-2613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 1023182094) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-04-22 |