| NPI | 1104825793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE D KOUTCHER Managing Partner 845-485-7767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2014-04-10 |