| NPI | 1891810461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM GREENFIELD Administrator 718-951-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY 223838) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2010-03-18 |