| NPI | 1003145830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD A ISRAEL Owner 516-466-6991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 032934) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2009-12-07 |