| NPI | 1790289445 |
|---|---|
| Other Name | HQMP INFECTIOUS DISEASE PINE ST. |
| Entity Type | Organization |
| Authorized Contact | GLENN LOOMIS Cmo 845-475-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |