| NPI | 1003190661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SUN LEE President 845-621-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 049023) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 039667-1) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 053114-1) | |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2011-09-30 |