NPI | 1407526320 |
---|---|
Entity Type | Organization |
Authorized Contact | RACHEL MCINTOSH VP, Clinical Operations 845-389-1287 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2021-09-14 |
Last Update Date | 2021-09-14 |