| NPI | 1972026359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA PHILLIPS Executive Assistant To CEO 845-342-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2019-06-11 |