| NPI | 1295872679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE ELAINE REEDER Office Manager 845-471-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 202111-0) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY 225259-1) |
| 363AM0700X Physician Assistant, Medical (Licence: NY 011524-1) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2008-02-19 |