| NPI | 1821016692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HERZOG Medical Director 914-749-6801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207N00000X Dermatology | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology | |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208600000X Surgery | |
| 208800000X Urology | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2025-09-11 |