363LA2100X
Pughkeepsie, NY
Specialty
363LA2100X
Credential
ACNP
NPI
1962630657
1910 South Rd, Pughkeepsie, NY 12601
(845) 218-4211Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 363la2100x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LA2100X