| NPI | 1396100087 |
|---|---|
| Other Name | KINGSTON PCP |
| Entity Type | Organization |
| Authorized Contact | MICHAEL DOYLE VP Medical Affairs 845-475-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |