| NPI | 1639363393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL G DOWLING Director 914-377-4668 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 7000006H) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |