| NPI | 1912454521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PRICE Owner 845-356-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 211887-1) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2024-02-21 |