| NPI | 1700966801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG N. MOSS Director 845-338-7140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: 169627) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 158234) |
| 207R00000X Internal Medicine (Licence: NY 158379) | |
| 207R00000X Internal Medicine (Licence: NY 179414) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 191978) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 228651) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 211804) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2009-07-07 |