| NPI | 1093689861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNOR L WALSH Sr Director Of Clinical Operations 845-821-4574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-10-03 |
| Last Update Date | 2025-10-03 |