| NPI | 1013306059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO MALVAROSA Facilty Health Services Director 845-831-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local (Licence: NY f336460-1) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: NY f336460-1) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |