| NPI | 1700979507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMITA MAZUMDAR Billing Supervisior 845-454-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-07-28 |