| NPI | 1922820315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL MITTELMAN CEO 845-782-3242 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |