| NPI | 1457874489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES H BAGLEY Owner 845-342-0746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 132024) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2017-07-21 |