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 |