| NPI | 1902068802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURESH CHANDANI Md 845-896-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: NY 147940) |
| 302F00000X Exclusive Provider Organization | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2023-01-11 |