| NPI | 1083915235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M NEUGANG President/Clinical Supervisor 607-756-4167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NY 120111451) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |