| NPI | 1194090878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE LADUCA Credentialing Manager 845-702-2711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2023-08-24 |