| NPI | 1649511577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WHITE Chief Operating Officer 845-473-2615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-03-01 |