| NPI | 1013529478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVION JACQUELINE THOMAS-WALSH Family Nurse Practitioner 845-548-2515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |