| NPI | 1912475880 |
|---|---|
| Other Name | HQMP KINGSTON SURG. ONC. |
| Entity Type | Organization |
| Authorized Contact | GLENN LOOMIS Cmo 845-475-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |