| NPI | 1003696717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN ROSEN President 914-737-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |