| NPI | 1285264812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT L RIDDLE President, Director, Shareholder 845-485-2273 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2023-09-07 |