| NPI | 1851568752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE ADELIONE WHITE Physical Therapist 718-360-1697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 029404) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2009-06-15 |