NPI | 1881970507 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMIKO GUTHRIE Sr. Diabetes Management Specialist 347-501-1452 |
Organization Subpart ? | Yes |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Enumeration Date | 2011-10-26 |
Last Update Date | 2018-05-25 |