| NPI | 1093138851 |
|---|---|
| Former Legal Business Name | GHVHS MEDICAL GROUP, PC |
| Entity Type | Organization |
| Authorized Contact | IZABELA NOWOSIELSKI President 845-333-1329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2023-01-12 |