| 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 |