| NPI | 1972762953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN E. HERMISTON Office Manager 914-941-1277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 150907) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |