| NPI | 1801774674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA M GERN Credentialing Manager 845-362-1081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-08-21 |