| NPI | 1609917574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE FARRELL D Irector Codingcompliance 845-634-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 211960) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |