| NPI | 1417217142 |
|---|---|
| Doing Business As | THE CHILDREN'S MEDICAL GROUP PLLC |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MAYHEW Chief Executive Officer 845-452-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2021-10-21 |