NPI | 1770702862 |
---|---|
Entity Type | Organization |
Authorized Contact | GODDARD S LAINJO President/Owner 845-342-4655 |
Organization Subpart ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 147716) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2008-12-24 |