| NPI | 1912309659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA ENGEL Doctor/Partner 845-340-9506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 216135-1) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 235039-1) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2024-10-02 |