| NPI | 1013953140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE VALERIE EASON Owner 845-615-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 178623) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-11-16 |