| NPI | 1518167931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND N MOTT Director 845-534-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 223778) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 008069) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |