| NPI | 1366554594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ANTHONY ROSE Medical Doctor 845-343-0728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 149775) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 1604871) |
| 208000000X Pediatrics (Licence: NY 172449) | |
| 208000000X Pediatrics (Licence: NY 224031) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-08-22 |