| NPI | 1851591994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA HALO President 845-638-4574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 334278) |
| Additional Taxonomies | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: NY 093635) |
| 213E00000X Podiatrist (Licence: NY N002983) | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |