| NPI | 1881401578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALLERIE MICHELLE ROSADO Owner 845-851-3545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2025-07-25 |