| NPI | 1821138645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE J. CODISPOTI Owner 845-357-0741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: NY 0999212) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |