| NPI | 1033204888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHIKKUMAR A RAVAL Owner 845-569-9662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 001584) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 001584) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 207398) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-13 |