| NPI | 1295362861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMAR T WILLIAMS President 845-232-5093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |