| NPI | 1306965744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA GOTTLIEB Billing Manager 845-353-1247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: NY 203287) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2014-12-16 |