| 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 |