| NPI | 1306093364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK FAGELMAN Urologist 845-354-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 102803) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |