| NPI | 1881005460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY I. PARDELL Director 845-471-1807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 166228-1) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2014-05-16 |