| NPI | 1073647673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN PETRILAK Practice Manager 845-703-8806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |