| NPI | 1083360168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL LAHURD Owner 845-323-5905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2022-02-27 |
| Last Update Date | 2022-02-27 |