| NPI | 1356840581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD YAGER Executive Director 845-878-9078 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 3922200r) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-11-19 |