| NPI | 1972751048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS P FIAVEY President 845-561-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 201797) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |