| NPI | 1205200417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE ALEXANDER Anp 914-376-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NY 305343) |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2015-11-25 |