| NPI | 1922230853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNINE SWEENEY DENARDO Director, Provider Resources 845-796-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2023-04-13 |