| NPI | 1942324512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARIE LYNN-KESSEL PAGE Audiologist 212-263-7567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 002110) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |