| NPI | 1174755847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VEENA SANKAPPANAVAR GANGASANI Physician/Owner 845-896-8370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 229829) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2009-08-14 |