| NPI | 1760796080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN DHUPAR President 845-471-1335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 255495) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |