| NPI | 1073992285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY NELSON Doctor 845-352-2899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 200298) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2024-09-10 |