| NPI | 1902076938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY EDWARD GOLDMAN President 845-255-5450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 155612-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F334111-1) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |