| NPI | 1952559874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL O PANIAGUA Physician Assistant 212-736-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 006339) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |