| NPI | 1891953220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN S COHEN Solo Practioner 845-634-6207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 27800) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |