| NPI | 1073700076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH THOMAS INGRASSIA Physician/Owner 845-623-2456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 128583) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |