| NPI | 1316219256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY JOHN Owner 845-499-2460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 225651) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 259643) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-10-26 |