| NPI | 1952657710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ANN WILLIAMS Owner 718-980-5161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 005609-1) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |