| NPI | 1306184908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HAMILTON Office Manager 845-340-1185 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 129228) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |