| NPI | 1831259795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE CLEARWATER Office Mgr./Administrator 845-853-8106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 5501209R) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2021-05-20 |