| NPI | 1245222546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE FIGUEROA Nurse Practitioner 845-294-8521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY F300562-1) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2020-08-22 |