| NPI | 1750513685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM MARK CUTCHIN Clinician 845-486-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NY 078568) |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2009-08-11 |