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 |