| NPI | 1710144712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL G. DOWLING Director Provider Services 914-377-4668 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |