| NPI | 1124328364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEVI H LEHV Owner 845-426-5171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 162242) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA A41731) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |