| NPI | 1700195096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KAVANAGH Business Manager 845-352-6800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |