| NPI | 1538640057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN REIDY Manger 845-590-3230 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D66576) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |