| NPI | 1114043411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA COUGHLIN Billing Supervisior/Secialist 845-338-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2021-03-03 |