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 |