| NPI | 1073881835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BURKE Chief Financial Officer 845-348-6607 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 207QA0401X Family Medicine Addiction Medicine |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2018-10-25 |