| NPI | 1184703308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE A KELLEY Executie Director 845-331-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 5501208R) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2009-06-26 |