| NPI | 1932316569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENA C. NELSON Counselor 315-267-2330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 002888-1) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |