| NPI | 1508013756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY ROBERT PAUL President / CEO 914-953-0434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 209800000X Legal Medicine | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |