| NPI | 1811288442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT P HIRDT Owner 845-566-0563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 168541) |
| Enumeration Date | 2011-04-30 |
| Last Update Date | 2012-01-24 |