| NPI | 1124532270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPAK RAMESHCHANDRA PATEL Owner/Authorized Official 845-339-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2022-08-29 |