| NPI | 1316371453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS R EANELLI Member 845-695-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QX0200X Clinic/Center, Oncology |
| 261QX0203X Clinic/Center, Oncology, Radiation | |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |