| NPI | 1881875458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROLLINS Owner 845-707-1245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 331600) |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2007-11-23 |