| NPI | 1477598605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BASCONE Practice Manager 845-339-3736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2015-09-30 |