| NPI | 1003089715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC BENJAMIN HERTZ President 718-998-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: NY 046617) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |