| NPI | 1053677229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH J ALVAREZ Physician/Manager 845-986-6969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 168391) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |