| NPI | 1891235412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOUDEDJA DEMBELE Fnp 914-500-5929 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital Critical Access (Licence: NY F338512-1) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |