| NPI | 1881721942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE REINHARDT Medical Office Manager 845-692-0560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 129656) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2019-09-16 |