| NPI | 1235467663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE L WOLF Member Manager 845-565-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 159421-1) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2009-11-23 |