| NPI | 1649511577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANA SEKOSAN Practice Administrator 845-218-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2024-12-03 |