| NPI | 1396201398 |
|---|---|
| Other Name | HQMP NMG PCP FISHKILL |
| Entity Type | Organization |
| Authorized Contact | GLENN LOOMIS Cmo 845-475-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-02-14 |