| NPI | 1376105262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMAR WILLIAMS Dr 845-309-0037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-11-19 |