| NPI | 1215183611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL G DOWLING Director Of Proivder Services 914-377-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-19 |