| NPI | 1508979162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA BAKER Credentialing Department 914-328-8077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: NY 02049085) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2016-10-03 |