| NPI | 1225231699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA MALONEY Chief Executive Officer 845-343-7614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2008-12-30 |