OrganizationActive
25 Chapel Street
NPI 1548623424 · Health Maintenance Organization · Brooklyn, NY
Provider details
- NPI number
- 1548623424
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Authorized official
- Lorin Blake, Clinical Director
- License
- 094063 (NY)
Mailing address
301 W 130th St
New York, NY 10027-1813
Registry dates
- Enumerated
- 2016-03-30
- Last updated
- 2016-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.