| NPI | 1205804770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARVANEH BOROJENI Medical Director 845-483-5852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: NY 1550961) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2020-08-22 |