| NPI | 1134516677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYANK PRATAPRAI SHAH President 845-986-8670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 171978) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |