| NPI | 1851675268 |
|---|---|
| Other Name | PLLC |
| Entity Type | Organization |
| Authorized Contact | ZORA BEDASIE Office Manager 718-733-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY X0046381) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |