| NPI | 1902110588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINITA PRASAD Post Graduate Physician 917-775-4178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |