| NPI | 1629273784 | 
|---|---|
| Doing Business As | CANDLEWOOD | 
| Entity Type | Organization | 
| Authorized Contact | DIANA KESSLER Credentialing 845-278-6200 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology | 
| Enumeration Date | 2007-06-19 | 
| Last Update Date | 2007-08-02 |