| NPI | 1003073727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIMA ROY Manager 718-488-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 045344) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 052357) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |