| NPI | 1255658423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG M BARABELL Cmo 845-641-6967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: SC 29943) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |