| NPI | 1023028578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNA GELLERMAN Owner 631-427-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 048684) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2015-11-16 |