| NPI | 1538621289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL MITTELMAN Executive Director 845-782-3242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |