| NPI | 1003089368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC G BERNSTEIN Owner 718-723-5630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 050960) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |