| NPI | 1740200252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN WINHEIM Credentialing Agent 845-680-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 205426) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |