NPI | 1124009535 |
---|---|
Entity Type | Organization |
Authorized Contact | ALAN H GROSS Partner 845-483-5858 |
Organization Subpart ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 207R00000X Internal Medicine |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
207RG0300X Internal Medicine, Geriatric Medicine | |
207RP1001X Internal Medicine, Pulmonary Disease | |
Enumeration Date | 2005-11-11 |
Last Update Date | 2025-09-11 |