| NPI | 1669470019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANIE STERNBERG Executive Director 845-354-9301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 4353202R) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2018-06-21 |