| NPI | 1952638058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LATERRA-FERRARO Owner 845-360-5373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 361310) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2009-11-10 |