208100000X
Middletown, NY
Specialty
208100000X
Credential
D.O.
NPI
1508958299
95 Crystal Run Rd, Middletown, NY 10941
(845) 703-3800Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 208100000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 208100000X