| NPI | 1558542969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY JEANNE BRUECKNER President 845-246-3642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 233710) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-12-09 |