| NPI | 1952686974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN S MATESIC Registered Nurse 845-298-9205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: NY 3603561) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2011-10-27 |