| NPI | 1083946792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMTIAZ A MALLICK President & CEO 845-896-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 196451) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2022-03-05 |