| NPI | 1114461761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA GOLD President 845-654-0506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 331534) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |