| NPI | 1801167747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BRADFORD CONNELL President 845-485-8582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY X005045) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |