| NPI | 1962948505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN GUTHRIE Owner 716-256-3601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY CI#343) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |