| NPI | 1255508586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIET OVSHAYEV Physician 845-352-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 220616) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |