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 |