| NPI | 1689667438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE W. MARK JOBSON Director 845-338-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 166060) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 166060) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2007-07-19 |