| NPI | 1043246077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MCCLOSKEY Business Manager 845-473-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 1302208R) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2024-03-29 |